Your situation really is an issue.. In a recent PCRI conference one of the doctor said that if your biopsy shows more than five cores with 3+3 or more than it should be treated.

I count eight cores with 3+3 or 3+4.

Apparently, you only counted the below as one core when it’s actually shows 3 of 3 cores affected

Right Posterior Lateral: 3+4, % of pattern 4 is less than 10%, "tumor involves 20% of overall specimen (3 of 3 cores). Most affected core involved by tumor over 40% of its length"

The one above it showed only one of two cores affected.

This means you have four cores with a 3+4 and some of them have a significant amount of tumor.

I’m sure that doctors at Mayo Clinic Rochester will note this, and want to start some sort of treatment.

PIRADS 3 Is not considered cancer, but you seem to have enough 3+4 cores to confirm a cancer diagnosis. Of course you need to leave the final decision up to the doctors.