1b - Answer: 64-year-old male presents with elevated PSA.
HISTORY:
This 64-year-old male presents elevated PSA.
PRIMARY FINDING:
PI-RADS IV.
FINDINGS:
Prostate measures 4.8cm in transverse dimension, 4.2cm in AP dimension and 4.5cm in craniocaudal dimension with calculated bullet volume of 59mL.
An 8mm hypointensity at the posterolateral left apical peripheral zone with restricted diffusion and arterial enhancement. Wedge-shaped mild hyperintensity in the remaining peripheral zones. No restricted diffusion. Cordlike stromal hyperplasia with glandular hyperplasia in the transitional zones. No erased charcoal sign. Capsules intact. Neurovascular bundle unremarkable. Seminal vesicles are unremarkable.
No lymphadenopathy in the visualized pelvis.
Severe colonic diverticulosis.
Bilateral inguinal hernia with fat.
CONCLUSION:
1. 8mm hypointensity with restricted diffusion and enhancement at the posterolateral apical left peripheral zone. PI-RADS 4. No evidence of regional metastases.
2. Colonic diverticulosis.
Case Challenge: Prostate MRI Cases
Case Challenge
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Content reviewed: October 25, 2021