Finding: The left posterior TZ demonstrates a non-rounded non-encapsulated focal region of homogeneous decreased T2 signal (darker than the remainder of the TZ) also showing focal markedly decreased ADC and increased high b-value signal. The lesion measured over 15 mm.
T2WI: 5. DWI: 5. PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.