70 yo male presenting with inability to void urine. | Figure 1

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70 yo male presenting with inability to void urine.

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êsRm multiparametric prostate in an apparatus 1.5 screen with XL coil 16-channel torso without the use of rectal coil for evaluation and investigation of prostate lesions in high resolution. A 70-year-old patient presented changes in the PSA rate arriving at our service with indication of a multiparametric study of the prostate without previous biopsy, for anatomical and functional evaluation of the prostate and screening for possible lesions. High resolution T1 and T2 images were performed on the 3 planes and heavy functional images in diffusion and study of prostate perfusion. Results: prostate measuring 4.2 × 3.7 × 4.3 cm, with an estimated volume of 43 cm cubic, with internal gland heterogeneity without nodule configuration, nodule with low T2 sign, showing diffusion restriction And low signal on the ADC map, in addition to the increase in T1-weighted perfusion, measuring 1.5 × 1.1 cm, located in the lateral portion of the peripheral zone of the right third of the right third. Diagnostic impression: High suspicion test for clinically significant malignant neoplasm classified as (PIRADS IV). We conclude that 1.5 T MRI without the use of a rectal coil can evaluate prostate lesions with the protocol and appropriate high resolution techniques without causing patient discomfort and with a highly accurate diagnostic pattern.
Does anyone disagree e with the images and the result .


78 y.o. male. CC: dysuria. history of surgery due to BPH 11 yrs ago. PSA: 48 ngm.

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