Not being a physician, I would view this s follows: You're absolutely right to be questioning this. Based on your husband's PSA and PHI results, the likelihood of prostate cancer is likely higher than the 50% the NP mentioned — especially given the PHI of 89.2 and the % free PSA under 15%. Those numbers aren’t just mildly concerning and they usually prompt more urgent follow-up.

The fact that your husband has CLL and a history of multiple cancers, only raises the stakes here. He’s not the kind of patient where you wait around for months just because the cancer might typically be slow-growing. Population statistics don’t override individual risk, and he clearly has one.

Being unavailable between May 27 and June 17 is totally reasonable — what’s not reasonable is having to wait until the end of August just to speak with someone about the MRI. That kind of delay might be fine for someone with mild BPH and a PSA of 5, but not in this case.

No question: it would be smart to get a second opinion from a urologist — and preferably someone affiliated with a cancer center or large hospital system. Even if it’s just a consultation to review the labs and history, having a urologist weigh in could fast-track better diagnostics or at least give you a clearer sense of the urgency (or not). You might also want to ask if the MRI could be done sooner at a different imaging center — sometimes just calling around can open doors that the central scheduling systems don’t.

Bottom line: you’re not overreacting. You’re being proactive. And in this situation, that’s exactly what’s needed.