53 year old man with no positive past history with lower urinary tract system. PSA - 153ng. Prostate is hard on per rectal examination.
MR reveals irregular cystic area on the left side posterior to the prostatic urethra. Diffusion imaging reveals restricted diffusion in the area.
MRS reveals a high choline to citrate ratio.
A diagnosis of prostatic abscess was made; the abscess was drained under transrectal ultrasound guidance.
Culture: Klebsiella Species
Patient treated with antiobiotics.
Case Prostatic Abscess - MR courtesy of Dr Paresh K Desai, radiopaedia.org