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. Author manuscript; available in PMC: 2013 Aug 1.
Published in final edited form as: AJR Am J Roentgenol. 2012 Aug;199(2):360–366. doi: 10.2214/AJR.11.6923

Fig. 5.

Fig. 5

66-year-old man 4 years after radical prostatectomy for Gleason 7 (3 + 4) tumor. Follow-up showed biochemical recurrence with elevated prostate-specific antigen of 0.19 ng/mL and palpable nodule at digital rectal examination.

A, Transverse T2-weighted image shows 22-mm nodule (arrow) suggestive of local recurrence in right posterior part of vesicourethral anastomosis.

B, With addition of contrast-enhanced MRI (CE-MRI), level of suspicion did not increase for either of the two readers, both of whom had assigned a score of 5 according to T2-weighted imaging; however, CE-MRI allowed both readers to better demarcate local recurrence (arrow) in relation to surrounding organs. Transrectal ultrasound–guided biopsy verified Gleason score 7 local recurrence.