@yarddogman
As I mentioned, your PSA doesn’t sound unusual with such a large prostate, but, a high PSA density (e.g., \(>0.2\) raises concern, below .15 is associated with a low risk of progression. .06 is quite low.

You should ask your doctor, whether your PSA density shows there really isn’t an issue And see what he is basing his desire to do a biopsy on. They do make a lot of money doing it. Then again there is a PIRADS 3 lesion involved.