PMC9906036_01
Multi-parametric MRI of prostate. a Sagittal T2-weighted image revealing the upper two-thirds of a vagina between the rectum and urinary bladder. b Sagittal T2-weighted image revealing an anteverted uterus posterior to the urinary bladder. c Axial ADC map revealing marked restricted diffusion within the right side of the prostate, extending into the right side of the vagina in keeping with T4 disease. d Diffusion-weighted imaging (B1400) showing the same as c.
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PMC9906036_01_cro-2023-0016-0001-529059_f1.jpg
F1
A left side ovary, a uterus, and upper vagina were identified in keeping with PMDS (Fig. 1a, b). The prostate measured 8cc, yielding a PSA density of 0.7, with a PIRADS 5 lesion within the right peripheral zone of the prostatic base, which extended into the right wall of the vagina (Fig. 1c, d).