What do your grill and this prostate case have in common? The first image is a prostate axial MRI T2. Can you name the sign? There is also an axial diffusion and ADC parametric map. Gleason score is probably greater than what number?
“Charcoal erasure sign” of malignancy (axial T2 arrow). With erasure sign (on axial T2 the normal anatomy is “smeared away,” by hypointensity), broad capsular contact anteriorly (a worrisome sign for capsular invasion), and pronounced diffusion restriction. The Gleason score is likely greater than 6. You use charcoal in your grill and you have the charcoal erasure sign in the anterior prostate as a sign of malignancy.
For more interesting prostate case review, visit MRI Online.