The role of multiparametric magnetic resonance imaging in the detection of prostate cancer: NYU Case of the Month, October 2016.

Abstract

Evaluation A multiparametric magnetic resonance imaging (MRI) scan was obtained. The pertinent image shows a large prostate imaging reporting and data system (PI-RADS) 5 lesion in the left transition zone (Figure 1). T2-weighted imaging and the diffusion-weighted imaging shows a low signal intensity lesion in the left anterior transition zone. Dynamic contrast enhancement demonstrates early uptake and rapid wash out of the transition zone lesion. There was capsular bulging likely associated with extracapsular extension.