13b - Answer: 57-year-old male presents with elevated PSA
HISTORY:
This 57-year-old male presents with elevated PSA.
PRIMARY FINDING:
PI-RADS II.
FINDINGS:
Prostate measures 5cm in transverse dimension, 4cm in AP dimension and 5.5cm in craniocaudal dimension with calculated ellipsoid volume of 58mL.
Mild hypointensity in the peripheral zones with no restricted diffusion. Mixed stromal and glandular hyperplasia of the transitional zones. No erased charcoal sign. Capsule is intact. Neurovascular bundle unremarkable. Seminal vesicles atrophic.
No lymphadenopathy in the visualized pelvis.
No focal suspicious osseous lesion.
Bilateral inguinal hernia with fat.
Severe colonic diverticulosis.
CONCLUSION:
1. No MRI evidence of aggressive prostate carcinoma. Mild hypointense peripheral zones with no areas of restricted diffusion, PI-RADS 2.
2. Benign prostatic hyperplasia.
3. Severe colonic diverticulosis.
Case Challenge: Prostate MRI Cases
Case Challenge
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Content reviewed: October 25, 2021