T3 prostate cancer on MRI
Continuous raise of PSA, now 10.6 ng/ml. DRE negative.
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T2 hypointense nodule at the base of the left prostate side lobe extending beyond the capsule. Involvement of left seminal bladder can't be excluded. Disseminated osteoblastic skeletal metastases.
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.