We report the case of a 44-year-old male presenting with deviation of
the penis during erection. Upon physical and clinical examination the
patient did not have the typical findings of Peyronie's disease, there
fore he was admitted for further evaluation by conventional sonography
, duplex Doppler ultrasound, endourethral ultrasound and magnetic reso
nance imaging (MRI). Endourethral ultrasound and MRI provided evidence
of Peyronie's disease with atypical involvement of the corpus spongio
sum and, in addition, demonstrated nonpalpable plaques in the septum o
f the penis.