Prostatic abscess (MRI)
No pertinent past medical history with lower urinary tract system. PSA: 153 ng/ml. Prostate is hard on rectal examination.
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MR reveals irregular cystic area on the left side posterior to the prostatic urethra. Diffusion imaging reveals restricted diffusion in the area.
MRS reveals a high choline to citrate ratio.
A diagnosis of prostatic abscess was made; the abscess was drained under transrectal ultrasound guidance.
Culture: Klebsiella species
Patient treated with antiobiotics.
Final diagnosis: Proastatic abscess