Multimodal Imaging Findings in Penile Squamous Cell Carcinoma

Penile squamous cell carcinoma (SCC) is the most common type of penile malignancy affecting males in their sixth to eighth decade of life. We discuss a case of an 89-year-old male with dementia who initially presented to the emergency department with a penile lesion and symptoms consistent with a urinary tract infection. Further evaluation with MRI and a subsequent biopsy confirmed the diagnosis of penile SCC, which caused multiple strictures in the penile urethra. This report demonstrates a rare instance of penile SCC causing multifocal urethral obstructions and highlights the utility of MRI in characterizing penile lesions.