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Fig. 5B. —68-year-old man with positive findings on digital rectal examination and prostate-specific antigen of 12 ng/mL. Transrectal sonographically guided biopsy detected adenocarcinoma, Gleason score of 8 in right peripheral zone, and Gleason score of 7 in left peripheral zone. Note abnormal contrast enhancement of contiguous neurovascular bundle (arrow), suggestive of tumor involvement, which was confirmed on transrectal MR imaging.





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