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Insights into Imaging
Fig. 8 | Insights into Imaging

Fig. 8

From: False positive and false negative diagnoses of prostate cancer at multi-parametric prostate MRI in active surveillance

Fig. 8

Acute prostatitis in a 46-year-old patient with elevated PSA. Axial T2W TSE (a) demonstrates an amorphous area of low T2 SI (dotted arrow) in the left middle PZ with corresponding low SI on ADC map (black arrow in b) due to restricted diffusion, note increased SI on trace b1000 mm²/s EPI (white arrow in c). There is an indeterminate type II contrast curve (plateau kinetics) on DCE in (d). A differential diagnosis of prostatitis or cancer was provided, and biopsy or follow-up was suggested. The patient had typical findings of acute bacterial prostatitis clinically and was treated with antibiotics with normalisation of PSA post therapy

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