T3 prostate cancer (MRI)

Case contributed by Dr Roberto Schubert

Presentation

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.