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 46-year-old male presents with hematospermia for the past 6-7 months. PSA level 0.9.PRIMARY FINDING:&#160;PI-RADS 1 of 5.FINDINGS: Prostate gland is upper limits of normal volume measuring 4.48 x 3.27 x 3.62cm for a volume of 34.71ml (bullet calculation). No suspicious nodule demonstrated, restricted diffusion or early arterial phase enhancement within the prostate gland. No T1 hyperintensities in the prostate gland, seminal vesicles, or ejaculatory ducts to suggest methemoglobin staining from acute hemorrhage or from active hemorrhage. Volume loss symmetrically involves both seminal vesicles with desiccation. No sizable stone in the posterior urethra. No cystic rim-enhancing change within prostate gland to suggest abscess. Smooth muscle hypertrophy involves both vas deferens with asymmetric fluid within the lumen of each, right greater than left. Collapse with paucity of fluid seen in left seminal vesicle with small amount of fluid seen in right seminal vesicle. No pathologic enhancement about the seminal vesicles to suggest vesiculitis. No pathologic enhancement about either vas deferens to suggest vasitis.&#160;Rectal mucosa normal pattern and thickness. Urinary bladder has smooth wall with normal thickness. No suspicious intravesicular filling defect. No evidence of distal hydroureter. No enlarged inguinal or intrapelvic lymph node.&#160;No acute osseous abnormality. No suspicious osseous lesion in the visualized axial or proximal appendicular skeleton. Red marrow reconversion seen in the ischium and pubic bones; findings that can be correlated for any anemia or chronic smoking history. Mild tendinopathy involves both hamstring tendon origins without tear.&#160;CONCLUSION:&#160;1. PI-RADS 1 of 5, benign appearance of prostate gland. No suspicious nodule, invasion of the anatomic capsule, invasion of the surgical capsule, invasion of the rectoprostatic angles, invasion into the urinary bladder, invasion into rectum, or invasion into seminal vesicles.&#160;2. Collapse/desiccation of seminal vesicles, more pronounced on the left. Smooth muscle hypertrophy in both vas deferens (may be postinflammatory). No pathologic enhancement of either vas deferens or either seminal vesicles to suggest infectious vasitis or vesiculitis. No fluid collection or suspicious enhancement to suggest prostatitis or prostatic abscess.&#160;3. Normal MRI evaluation of urinary bladder. No pathologic enhancement along course of urethra to suggest infectious urethritis.</div>

Case

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