The MRI guided biopsy was positive for adenocarcinoma as per the attached pathology report.

This case highlights the added utility of PSMA PET and MRI in bore targeted biopsy in the work up of a patient suspected to have prostate cancer.

It also illustrates the use of PI-RADS v2 in grading lesions and the introduction of a dominant sequence in the transition and peripheral zones, a change from version 1.