Finding: The right posterolateral PZ demonstrates a focal region of markedly decreased ADC and markedly increased high b-value signal, with associated focal early enhancement. The lesion measures under 15 mm on the ADC map, which PI-RADS v2 advises be used for measuring lesion size.
T2WI: 4. DWI: 4. DCE: (+). PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.