Have follow up on Tuesday. Dr only wanted to repeat psa in 6 months but we insisted on a sit down. In mean time we are working on second opinion. Psa has gradually gone up but has been sitting around 5.5 for last couple years. This spring it jumped to 7.8 and they put me on doxycycline for 6 weeks and repeated psa after it was complete. Psa came back down to around 5 but he wanted to do mri. After results of mri urologist wanted to do bx. Was not mri guided but was ultrasound guided. Just scared he missed the areas of interest. I had mri little over 1 yr ago and they seen nothing of interest. I attached mri from Feb of last year. Before mri I ask urologist about psma scan and he was like, let’s just see what bx shows first. If positive we will do one. In process of getting all medical records around for second opinion. I have read that some pi-rad5’s can be benign but very rare? Thanks everyone.