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. 2014 Apr 25;87(1037):20130659. doi: 10.1259/bjr.20130659

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© 2014 The Authors. Published by the British Institute of Radiology

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Figure 3. — Recurrent prostate (P) cancer in the anterior aspect of right side of the central gland. The patient status is post external radiation treatment with a recent elevation of prostate-specific antigen to 3.1 ng ml⁻¹ and negative transrectal ultrasound biopsy. (a) Axial T₂ weighted imaging demonstrates a focal low signal area in the anterior aspect of right side of the central gland (arrow), not significantly different from the rest of P in terms of low T₂ signal intensity. (b) Apparent diffusion coefficient (ADC) map demonstrates the area with very low ADC value (arrow). (c) Dynamic contrast-enhanced imaging demonstrates the area in the anterior aspect of the right side of the central gland with rapid contrast wash-in and wash-out (arrow). This is concerning for prostate cancer. MRI-guided biopsy confirmed recurrent prostate cancer Gleason score 7.