Fig. 8
From: Pitfalls in Interpreting mp-MRI of the Prostate: A Pictorial Review with Pathologic Correlation
Hypertrophic anterior fibromuscular stroma (white arrows). a Axial T2-weighted fast spin-echo image (5045/110), b coronal T2-weighted fast spin-echo image (5565/120) showing hypertrophic area of low signal intensity between the small transition zone lobes. c Axial DWI image with b value = 1000 mm2/sec and d ADC map showing no diffusion restricted phenomena. e Axial perfusion gradient-echo T1-weighted subtracted image showing late mild enhancement of the zone. According to the PIRADSv2 scoring system the score for T2, DCE and DWI is, respectively: 4/5, − and 2; the overall score is 4 (based on dominant sequence), which means the presence of clinically significant cancer is likely to be present