4b - Answer: 67-year-old male presents with elevated PSA
HISTORY:
This 67-year-old male presents with elevated PSA.
UNDER WHICH PI-RADS SCORE:
PI-RADS II.
FINDINGS:
Prostate measures 7.7cm in transverse dimension, 6.5cm in AP dimension and 9.5cm in craniocaudal dimension with calculated ellipsoid volume of 249mL. The peripheral zones severely atrophic and moderate hyperintense, no restricted diffusion. Primarily cord-like and nodular hypoplasia of the transitional zones, no erased charcoal sign. Neurovascular bundle unremarkable. Seminal vesicles atrophic and hypointense.
No lymphadenopathy in the visualized pelvis. No focal suspicious osseous lesions.
CONCLUSION:
1. No MRI evidence of aggressive prostate carcinoma. Severe atrophy and moderately hypointense peripheral zones with no restricted diffusion, PI-RADS 2.
2. Severe benign prostatic hyperplasia.
Case Challenge: Prostate MRI Cases
Case Challenge
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Content reviewed: October 25, 2021