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Dynamic Contrast Enhanced MRI: Increased sensitivity for detection of prostate malignancies.
68 year old male patient with rising PSA and multiple negative trans-rectal ultrasound guided biopsies. MRI demonstrates ill-defined crescentic area of T2 hypointensity anteriorly in the transitional zone, with corresponding abnormal perfusion and restricted diffusion representing tumor. This was confirmed on repeat biopsy targeting this area.
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