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Hematospermia

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Blood in semen post transrectal biopsy of the prostate. Elevated PSA.

Patient Data

Age: 60 years
Gender: Male

MRI scan performed to stage...

mri

MRI scan performed to stage malignancy as TRUS Bx showed 1/12 cores Gleeson 3+3 cancer

T1 hyperintense material in the right seminal vesicle (arrow) as compared with the left and T2 hypointensity on the right (arrow) as compared with the normal left hyperintensity. Appearances are consistent with blood degradation products (i.e. methemoglobin).

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