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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

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. 5

A 55 year old male patient having serum PSA level of 53 ng/ml and gland volume of 40.8 cm3. A Axial T2WI demonstrates ill defined focal lesions of abnormal hypointensity (arrow) involving the peripheral and transitional zones at the prostate base, mid gland and apex levels bilaterally associated with exophytic disruption of the prostatic capsule more on the left side and infiltration of the seminal vesicles and neurovascular bundles (score 5). B showing diagramatic representation of the lesion. C and D Axial high b value DWI and axial ADC demonstrate high DWI and 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 showed prostatic adenocarcinoma of Gleason score 7 (4 + 3)

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