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False-negative external report. A 70-year-old patient with 10.4 ng/ml PSA and previous negative TRUS biopsy. MRI reported as negative externally. Second report identified a high probability (PIRADS-5) 15-mm target in the left anterior apex transition zone (arrows), with homogeneous low T2-signal (a), and restricted diffusion on b-1,400 imaging (b) and ADC map (c). Transperineal biopsy found Gleason 3 + 3 disease in 30 % of both target cores
