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 65-year-old male presents with an elevated PSA of 12.27. Negative biopsy without cancer diagnosis.PRIMARY FINDING:&#160;PI-RADS V.FINDINGS: The prostate measures 4.2 x 4.3 x 5.1cm for an estimated volume, using the bullet formula, of 59.8cc and a tumor density of 0.205 ng/mL/cc which is in the high risk range.&#160;Peripheral Zone: Diffuse and restricting vascular 3.8 x 3.5 x 4.2cm T2 hypointense mass involving the right PZpl, PZpm; bulging the right side of the capsule, impinges upon the right neurovascular bundle and narrows the right rectoprostatic space. In addition, this mass invades the abnormal right seminal vesicle. The mass involves the entire right PZpl and PZpm from apex to base. PI-RADS 5 for this lesion.&#160;No left-sided peripheral zone lesion. The above mass does not seem to cross the midline in the peripheral zone but may cross the midline in the central gland. The left seminal vesicle is normal.&#160;The left rectoprostatic angle and neurovascular bundle are normal.&#160;The space of Retzius is normal.&#160;Suspicious bone lesions in the right pubis and in the left acetabulum.&#160;Colonic diverticulosis.&#160;No lymphadenopathy.&#160;Mild SI joint arthrosis.&#160;Iliopsoas peritendinitis and bursitis of the right hip.&#160;CZ/TZ hypertrophy and bladder wall thickening compatible with outlet obstruction. No additional lesions in the CZ or TZ.&#160;CONCLUSION:&#160;PI-RADS 5/5:&#160;a. Dominant lesion in the right PZpl and PZpm, from apex to base, bulging the capsule, and likely involving the right neurovascular bundle. This lesion invades the seminal vesicle and measures 3.8 x 3.5 x 4.2cm, T3b.&#160;b. Suspicious bone lesions in the right pubis and left acetabulum.&#160;c. BPH and bladder wall thickening compatible with outlet obstruction.&#160;d. Colonic diverticulosis.&#160;e. Right iliopsoas peritendinitis and bursitis.</div>

Case

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