Finding: The right posterolateral PZ demonstrates a geographic crescentic region of mildly decreased ADC and increased high b-value signal with associated early enhancement. The non mass-like morphology and mild signal change suggest an inflammatory change. Clinical decision was made to perform a targeted biopsy despite the low PI-RADS category.
T2WI: 2. DWI: 2. DCE: (+). PI-RADS: 2.
MRI/TRUS fusion biopsy: Acute inflammation.