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A 69-y-old patient with history of Gleason 7 PCa treated with high-intensity focus ultrasound therapy 1 year previously. (A, B, and D) Surveillance mpMRI does not reveal any findings concerning for recurrence. (C) On 68Ga-PSMA PET/MRI, area of focal intense uptake localized to right apex (arrow) is seen, corresponding to subsequently biopsy-proven recurrent Gleason 4 + 4 tumor.
