Presentation
Raised PSA, 16. Clinically T2b/ T3 lesion right lobe Any PIRADS 4/5 areas?
Patient Data
Age: 80 years
Gender: Male
From the case:
Prostate adenocarcinoma: PIRADS 5
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/98933/annotated_viewer_json?iframe=true\u0026lang=us"}
Prostate volume 37mls. PSA density 0.43ng/ml.
1.5 cm focus of low T2 signal posterolaterally in the right peripheral zone at the level of the mid gland. Corresponding b1400 change and ADC restriction (PIRADS 5). Moderate length of capsular abutment and irregularity.
Diffuse PIRADS 3 changes in the thin residual left peripheral zone.
BPH of the transitional zone.
Normal seminal vesicles. No pelvic lymphadenopathy. No sinister bony lesion.
From the case:
Prostate adenocarcinoma: PIRADS 5
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/98934/annotated_viewer_json?iframe=true\u0026lang=us"}
A matrix of sequences demonstrating the right peripheral PIRADS 5 lesion with and without annotation.
Case Discussion
Left focal PIRADS 5. If biopsy-proven tumor, radiological stage, early T3a, N0, Mx.