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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: Diagnostic accuracy of the different pulse sequences of multi-parametric prostate MRI in the diagnosis of prostate cancer in the peripheral and transitional zones

Fig. 3

A 73 year old male patient having serum PSA level of 56 ng/ml and gland volume of 59.1 cm3. A Axial T2WI demonstrates a focal lesion of moderate hypointensity (arrow) involving the peripheral zone at the left prostate apex and mid gland levels measuring about 1.7 × 1.2 cm along its maximum axial dimensions (score 5). B showing diagramatic representation of the lesion. C and D Axial high b value DWI and axial ADC demonstrate marked high DWI and mild to moderate low ADC value (score 5), (According to bpMRI, the final PI-RADS category was 5). E Axial DCE demonstrates positive contrast enhancement (According to mpMRI, the final PI-RADS category was 5). Histopathology revealed prostatic adenocarcinoma of Gleason score 7 (3 + 4) at the left prostate apex and mid gland levels

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