I agree with @survivor5280, it would be real interesting to see a decipher test result. The PSE test would not make a lot of sense since you already know you have cancer and have already had a biopsy. It’s just a matter of how much there is and how quickly it grows Noe.

If you have one 3+4 you are a Gleason seven the 3+3’s are not relevant anymore.

PI-RADS 4 is pretty much known to be cancerous. It would be good to know how big they are and where they are. Are any near margins of the prostate.

Yes, you could go on active surveillance. You don’t mention your PSA, which could be useful. What you’re looking for is PSA doubling time. The shorter it is the more likely you have to get off of active surveillance and do something.