Medullary Aplasia Revealing a Metastatic Prostatic Adenocarcinoma

Figure 2

(a) Multiparametric MRI image showing a suspicious nodule with capsular intrusion and invasion of the rectal wall. Nodular image sitting at the level of the left CZ sector of the prostatic base in heterogeneous hyposignal on the T2-weighted images, in hypersignal B1000 diffusion with restriction on the ADC card. Note a rupture of the prostatic capsule with invasion of the left neurovascular strip and thickening of the rectal wall (isosignal T2 and hypersignal in diffusion). (b) T2 sequence of a multiparametric MRI of the prostate objectifying an invasion of the base of the seminal vesicles T2 hyposignal aspect of the base of the seminal vesicles denoting their invasion. (c) B1000 diffusion sequence of a multiparameter MRI objectifying an associated secondary bone involvement, with a heterogeneous aspect of the bone structure.

(a)

(b)

(c)