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 62-year-old male presents with elevated PSA level measuring 8.3ng/mL; no biopsy or surgery. No family history of cancer.PRIMARY FINDING:&#160;PI-RADS II.FINDINGS: The prostate gland measures 6cm in CC, 5cm in AP, and 6cm in RL dimensions. Calculated prostate volume is 94cc and PSA density is 0.09. Transitional zone hyperplasia is present. Stromal hyperplasia areas demonstrate mild to moderate diffusion restriction. No suspicious T2 hypointensity with substantive diffusion restriction to suggest malignant neoplastic process in the transitional zone. Peripheral zone demonstrates linear T2 hypointense scarring regions. Anatomical prostate capsule, bilateral neurovascular bundles, rectoprostatic angles and seminal vesicles are clear.&#160;No lymphadenopathy in the pelvis or inguinal regions. Subcentimeter in diameter right external iliac chain lymph node is noted.&#160;Mild diverticular disease of the sigmoid colon without evidence of acute diverticulitis. Rectal wall is unremarkable.&#160;Visualized musculoskeletal structures are within normal limits.&#160;Urinary bladder is partially full and demonstrates mild wall thickening. No pseudo diverticula formation.&#160;CONCLUSION:&#160;1. PI-RADS 2; benign hyperplasia of the transitional zone.&#160;2. Mild diverticular disease of the sigmoid colon without evidence of acute diverticulitis.&#160;3. DWI images did not cover the whole prostate. Patient will be call back for complete DWI imaging.&#160;ADDENDUM:&#160;Additional diffusion-weighted images through the prostate are obtained. No substantive diffusion-restricted, T2-hypointense region in the transitional or peripheral zone of the prostate gland to suggest malignant neoplastic process.&#160;</div>

Case

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