Finding: The left anterior TZ demonstrates a non-rounded non-encapsulated region of moderately decreased T2 signal, although lacking the classic erased charcoal appearance to warrant a T2WI score of 4. However, the lesion shows markedly decreased ADC and increased high b-value signal.
T2WI: 3. DWI: 4. PI-RADS: 3.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.