Case Challenge

Case 1 - History: 64-year-old male presents with elevated PSA

Case 2 - History: 80-year-old male presents with malignant neoplasm of prostate

Case 3 - History: 67-year-old male presents with elevated PSA

Case 4 - History: 65-year-old male presents with an elevated PSA

Case 5 - History: 58-year-old male presents with prostate cancer

Case 6 - History: 62-year-old male presents with prostate cancer

Case 7 - History: 62-year-old male presents with elevated PSA level

Case 8 - History: 71-year-old male presents with elevated PSA level

Case 9 - History: 61-year-old male presents with elevated PSA level

Case 10 - History: 51-year-old male presents with elevated PSA level

Case 11 - History: 68-year-old male presents with enlarged prostate and elevated PSA

Case 12 - History: 82-year-old male presents with malignant neoplasm of the prostate

Case 13- History: 58-year-old male presents with malignant neoplasm of the prostate

Case 14- History: 75-year-old male presents with elevated PSA level

Case 15 - History: 78-year-old male presents with elevated PSA level measuring 5.39 ng/mL

Case 16 - History: 62-year-old male presents with elevated PSA level

Case 17 - History: 78-year-old male presents with elevated PSA level measuring 10.6 ng/mL

Case 18 - History: 64-year-old male presents with elevated PSA of 21.22ng/mL

Case 19 - History: 72-year-old male presents with elevated PSA, biopsy two years ago

Case 20 - History: 64-year-old male presents with increasing PSA following negative biopsy

Case 21 - History: 62-year-old male presents with elevated PSA level measuring 7.08 ng/mL

Case 22 - History: 63-year-old male presents with elevated PSA

Case 23 - History: 87-year-old male presents with prostate cancer, rectal cancer

Case 24 - History: 83-year-old male presents with elevated PSA level measuring 15.7ng/mL

Case 25 - History: 46-year-old male presents with hematospermia for the past 6-7 months

Case 26 - History: 79-year-old male presents with elevated PSA level

Case 27 - History: 66-year-old male presents with elevated PSA

Case 28 - History: 64-year-old male presents with adrenal carcinoma neoplasm

Case 29 - History: 76-year-old male presents with elevated prostate specific antigen

Case 30 - History: 66-year-old male presents with PSA 2.07

Case 31 - History: 50-year-old male presents with elevated PSA of 7.05

Case 32 - History: 66-year-old male presents with elevated PSA, negative biopsy

Case 33 - History: 67-year-old male presents with enlarged prostate

Case 34 - History: 55-year-old male presents with elevated prostate specific antigen

Case 35 - History: 66-year-old male presents with elevated PSA

Case 36 - History: 64-year-old male presents with elevated PSA of 5.1ng/mL

Case 37- History: 67-year-old male presents with elevated PSA level

Case 38 - History: 61-year-old male presents with PSA level of 3.1ng/mL

Case 39 - History: 55-year-old male presents with prostate neoplasm

Case 40 - History: 65-year-old male presents with elevated PSA level measuring 14.99ng/mL

Case 41 - History: 77-year-old male presents with cancer diagnosis

Case 42 - History: 62-year-old male presents with elevated PSA of 37.1ng/mL

Case 43 - History: 74-year-old male presents with prostate neoplasm

Case 44 - History: 58-year-old male presents with malignant prostate cancer

Case 45 - History: 59-year-old male presents with elevated PSA level 5.85ng/mL

Case 46 - History: 61-year-old male. Evaluate prostate cancer.

Course Evaluation

Post-Course Activities

This case challenge is comprised of 46 unique Prostate MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Prostate MRI Cases

<div>HISTORY:&#160;This 87-year-old male presents with prostate cancer, rectal cancer. Presurgical assessment.PRIMARY FINDING:&#160;PI-RADS 5.FINDINGS: The prostate measures 4.4 x 2.0 x 4.3cm for an estimated volume of 27.1cc.&#160;Peripheral zone: Decreased signal intensity throughout the peripheral zone of the prostate. No diffusion-restricting lesion within the peripheral zone.&#160;Central Gland: CZ/TZ hypertrophy and bladder wall thickening compatible with chronic outlet obstruction accentuated by incomplete distension. A 1.6 x 1.4cm T2 hypointense teardrop-shaped lesion in the left prostate base, left CZ, with corresponding weekly positive DCE, involves the left seminal vesicle.&#160;Both seminal vesicles are desiccated.&#160;Impingement upon the left neurovascular bundle by the lesion that protrudes posterosuperiorly from the left CZ near the midline. The right neurovascular bundle is normal.&#160;The space of Retzius is normal.&#160;No lymphadenopathy or bone lesion.&#160;Mild symphysis pubis and SI joint arthrosis.&#160;Bilateral femoroacetabular arthropathy.&#160;Diffuse circumferential rectal soft tissue thickening. No invasion of the muscularis layer into the mesorectal fat.&#160;Mild muscle atrophy.CONCLUSION:&#160;1. Left paramedian CZ prostate lesion measuring 1.6 x 1.4cm with involvement of the left seminal vesicle, PI-RADS 5. T3b. No sign of lymphadenopathy or bone lesion.&#160;2. Diffusely thickened mucosa of the rectum without sign of full-thickness invasion of the mesorectal fascia or into the mesorectal fat.&#160;3. No sign of lymphadenopathy or bone lesion.&#160;4. Degenerative arthropathy and osteopenia.</div>

Case

Under which PI-RADS score would this case most likely be classified?