T3 prostate cancer (MRI)

Case contributed by Roberto Schubert
Diagnosis almost certain


Continuous rise of PSA, now 10.6 ng/mL. DRE negative.

Patient Data

Age: 70 years
Gender: Male

T2 hypointense nodule at the base of the left prostate side lobe extending beyond the capsule. Involvement of left seminal bladder cannot be excluded. Disseminated osteoblastic skeletal metastases.

Case Discussion

Although this advanced case might have been diagnosed by more traditional methods, it nicely demonstrates the MRI features of prostate cancer: bright on DWI, dark on ADC and T2, early contrast enhancement and early wash-out.

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