Finding: The right anterior TZ demonstrates a large region of non-rounded non-encapsulated decreased homogeneous moderately decreased T2 signal. The region has ill-defined margins with locally invasive behavior, extending into the adjacent PZ. The lesion, which measures over 15 mm, also exhibits focal markedly decreased ADC and increased high b-value signal.
T2WI: 5. DWI: 5. PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.