PMC3424701_01
MRI T2-weighted images in (a, b) axial and (c) coronal views show two areas of altered signal, with oval-like morphology and hypointensity, respectively, localized in the peripheral region of the right (white arrow) and the left gland (white arrowhead).
JCIS-2-44-g002.jpg
PMC3424701_01_JCIS-2-44-g002.jpg
F1
Gray-scale ultrasound images (a, b) show hypoechoic areas (yellow arrowhead), with intra-lesional vascularization on color flow Doppler examination, near the dorsal surface of the both corpora cavernosa.
JCIS-2-44-g003.jpg
PMC3424701_01_JCIS-2-44-g003.jpg
F2
The ultrasound images [Figure 2] at the time of admission revealed the presence of hypoechoic solid nodules, with intra-lesional vascularization near the dorsal surface of the bilateral corpora cavernosa in the echo-color Doppler examination.
The T2-weighted images (a: axial and b: coronal) show the presence of nodules adherent to both cavernous bodies (white arrowheads). The T2- weighted images (c) and (d) show the loss of the normal architecture of the prostate due to solid tissue (recurrence of disease) which invades the region of the seminal vesicles and infiltrates the mesorectum (white arrows). Image (d) shows a bone metastasis (asterisk).
JCIS-2-44-g004.jpg
PMC3424701_01_JCIS-2-44-g004.jpg
F3
MRI images (T2-weighted images at high resolution) also showed solid nodules strictly adhering to the corpora cavernosa [Figure 3].
CT images through the (a) lung and (b) liver demonstrate multiple metastatic lesions.
JCIS-2-44-g005.jpg
PMC3424701_01_JCIS-2-44-g005.jpg
F4
CT [Figure 4] scan confirmed the presence of metastases to the cavernous bodies in a context of disseminated disease, with multiple pulmonary, bone, and liver metastases.