Prostatic utricle cyst with chronic prostatitis
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A 48-year-old army officer was referred to the radiology department for MRI of the prostate to rule the cause of post void dribbling. There was no history of trauma or infection in the past. The patient was otherwise healthy and there was no other associated significant medical history. Digital rectal examination revealed a large firm non-tender midline swelling in the prostate. Lab investigations were within normal limits.Prostate MRI was performed on 1.5T Siemens Symphony MR scanner for the diagnosis and better characterization of the pathology. A well-defined oval cystic lesion measuring 2 × 2.5 × 1.8 cm was noted within the prostate located in the midline, which was communicating with the prostatic urethra. The peripheral zone of the prostate was thinned out and appeared diffusely hypointense on T2WI, suggestive of chronic prostatitis.

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