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  West African Journal of Radiology
 

Figure 2: (a and b) Transverse B-mode and elastography images in a 75-year-old male. Digital rectal examination revealed Grade III hard prostate. Serum prostate-specific antigen was 148 ng/ml. B–mode image (right) shows prostatomegaly, heterogeneous echogenicity, and loss of normal zonal anatomy of prostate (arrow in a and b). Transrectal real-time strain elastography image (left) shows asymmetric blue area in bilateral outer glands, the diameter of blue area ≥5 mm (arrowhead in a and b). Biopsy revealed adenocarcinoma with Gleason Score (4 + 3) = 7

Figure 2: (a and b) Transverse B-mode and elastography images in a 75-year-old male. Digital rectal examination revealed Grade III hard prostate. Serum prostate-specific antigen was 148 ng/ml. B–mode image (right) shows prostatomegaly, heterogeneous echogenicity, and loss of normal zonal anatomy of prostate (arrow in a and b). Transrectal real-time strain elastography image (left) shows asymmetric blue area in bilateral outer glands, the diameter of blue area ≥5 mm (arrowhead in a and b). Biopsy revealed adenocarcinoma with Gleason Score (4 + 3) = 7