A 57-year-old patient, with PSA of 5.80, Gleason 4 + 5 on multiple cores, undergoing postbiopsy staging MP-MRI. Axial T1 weighted MRI shows biopsy related residual hemorrhage in right midperipheral zone (arrow) (a). Axial T2 weighted MRI shows a large left midperipheral zone lesion (b). Axial diffusion weighted MRI showing a large lesion extending throughout the left midperipheral zone (arrow) (c). High “” value DWI () showing strong enhancement of the left midperipheral zone lesion (arrow) (d). Axial dynamic contrast enhanced imaging showing early enhancement in the left midperipheral zone (arrow) (e).