Finding: The right anterior PZ demonstrates a large region of focal markedly decreased ADC and increased high b-value signal, with associated focal early enhancement. The lesion exhibits locally invasive behavior, with extension into the right TZ.
T2WI: 5. DWI: 5. DCE: (+). PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 4+5 tumor.