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Fig. 9 | Insights into Imaging

Fig. 9

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

Fig. 9

A 64-year-old patient with rising PSA and history of recurrent urothelial cell carcinoma of the urinary bladder treated with intra-vesical BCG therapy. Axial T2W image (a) demonstrates a large mass infiltrating throughout the right prostate (black arrow) and breaching the prostate capsule laterally (arrowhead) consistent with extra-prostatic spread. Axial b1000 mm²/s (b) and ADC map (c) demonstrate marked restricted diffusion (white arrows) and axial image from DCE shows marked early mass-like hyper-enhancement (type III curve was depicted and is not shown). TRUS biopsy was performed and histology was compatible with diffuse granulomatous prostatitis

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