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. 2018 Feb 22;19(2):193–200. doi: 10.3348/kjr.2018.19.2.193

Fig. 5. 44-year-old man with serum PSA level of 22.0 ng/mL and PCa.

Fig. 5

A, B. High b-value DWI and ADC map showed focal area of marked diffusion restriction, measuring 1.1 cm, in right PZ of prostate gland (arrow). Broad tumor-capsule contact was also seen. DWI score was 4 and 5 as measured by two independent, experienced radiologists, respectively, due to different interpretation regarding definite EPE. C. T2WI also demonstrated focal hypointense lesion with broad tumor-capsule contact (arrow). Thus, final PI-RADSv2 score on DWI was also 4 and 5 as measured by two independent, experienced radiologists, respectively. D. In surgical specimen, GS 7 PCa without EPE was confirmed (dotted area).