This case demonstrates a PI-RADS 5 lesion of the right apical anterior peripheral zone (PZa) and a further PI-RADS 5 lesion of the basal anterior fibromuscular stroma (AFMS).

Histology of the MR in-bore revealed a continuous infiltrate of an acinar adenocarcinoma (modified Gleason score 4+3=7b, G2b, high grade) within the two cores.

After consultation with his urologist patient is receiving radiation therapy.