Finding: The midline anterior TZ at the level of the distal apex demonstrates a peri-urethral lesion with non-rounded non-encapsulated homogeneous moderately decreased T2 signal, focal markedly decreased ADC, and markedly increased high b-value signal. Although demonstrating focal early enhancement, DCE does not influence the overall PI-RADS category in the TZ.
T2WI: 4. DWI: 4. PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.