I started out with an elevated PSA of 10.9 ( my first PSA test ever ) I was 67 , a month later I had a second test which showed 11.0 - I started getting nervous and did all the reading - I was worried about getting a biopsy though - my health care provider was really pushing me towards it but the more reading I did I became convinced that the first thing I should do would be to get an MRI . My provider kept saying no to an MRI they would only approve a biopsy ..... I said no ..... only an MRI at this point . After 6 weeks they finally agreed to getting an MRI - the MRI came back with a 5mm lesion contained in the prostate not threatening to breech and no spread could be found beyond the prostate walls . The results did come back as a Pi-Rad 4 . I went for a follow up visit to the doctor after taking another PSA test ( 6 months after the last one ) it came back as 8.7 . Soon I will be making a follow up appointment to get another PSA test - it's been 6 months , my plan is to do nothing ( basically active surveillance ) until I get either a spike in my PSA results or the lesion grows quickly or threatens to breech the prostate - after which time I'll throw the kitchen sink at the problem .