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Hypointense lesion on T2 in the peripheral zone on the left side, affecting the apex and the middle third of the gland. The lesion has a restricted diffusion coefficient. There is early enhancement of the lesion after gadolinium injection.
There is also bilateral pelvic and right inguinal lymphadenopathy.
Bone metastasis with extension to the adjacent soft tissues is seen in the right acetabulum, ischium and pubis.