Help me to understand my prostate MRI Report

@rockin2047, it looks like you've had a chance to see the results of your MRI on the patient portal before being able to discuss them with your cancer team. While fellow members can explain some of the terms or you can Google them, remember that the result of the MRI is only one piece of the diagnostic process. Your cancer team will put all the pieces together to give you a proper diagnosis.

I think you'll find this related discussion that @gefears42 started a few days ago to be reassuring and helpful. He, too, is going through this process at the same time.

- MRI Results: What are the chances the lesion is cancer? https://connect.mayoclinic.org/discussion/mri-results-3/

From what you shared in the other discussion you started,
- Prostate transrectal biopsy https://connect.mayoclinic.org/discussion/prostate-transrectal-biopsy/

The MRI suggest a small lesion with a high probability of cancer and a second one thought to be benign. This MRI will help guide the biopsy you're having this week. I will be thinking of you.

Peripheral Zone: Patchy low T2 weighted areas without significant
restricted diffusion or abnormal enhancement. Findings are due to sequela
of infectious or inflammatory disease most likely.

What does this mean?

Nobody here is doctor, so it would not be prudent for any of us to offer interpenetration - however, that T2 area points to presence of inflammation. (that is what is literary written - this is not interpenetration). I hope your doctor will soon be in contact with you and go over ALL those findings.

Just a layman here, but sequela of infection/ inflammatory disease indicates that what he is seeing on MRI is more suggestive of a previous prostatitis or infection - not a malignancy.
Again, I am just translating the statement you present.
Phil

@rockin2047 My 1st recommendation ., Go out and purchase Dr. Patrick Walsh's book : " Guide to Surviving Prostate Cancer " and start educating yourself on prostate cancer . This book describes : The tests , what they mean , and the treatment options based on certain test scores . Plus go on-line and follow Dr. Mark Scholz U - Tube Videos . You will have to become your own best health advocate .
A CAUTION : If you have a Biopsy , preferably a TRANSPERINEAL MRI Fusion Biopsy , and yor receivee your results - " THE GLEASON SCORE ". Get a 2nd or 3rd opinion to confirm the Gleason Score . Many treatment options are based on the accuracy of this score .

@thaxterstill55, what led to you getting an MRI? When is your appointment to discuss these finding with your doctor?

Thanks for the translation. That agrees with other research I have done. I follow up with my Urologist tomorrow.

PSA was elevated since last check six months ago. Overall MRI findings seem favorable but I’ll know more after my follow up visit with my Urologist tomorrow. Thanks,