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A 74-year-old, PSA 11 ng/mL referred for MRI pre-biopsy. No primary tumour detected, gland volume =125.7 mL. Bilateral external iliac nodes demonstrate benign features with an ovoid shape and fatty hila on T2 (A), b-1400 DWI shows high signal (B), confirmed as “T2-shine through effect” with no restricted diffusion on ADC maps (arrows in C). PSA, prostate-specific antigen; MRI, magnetic resonance imaging; ADC, apparent diffusion coefficient; DWI, diffusion-weighted imaging.
