@douglasmayo All of your numbers look like low-grade disease.
If it were me, I would get a repeat PSA (quarterly at first), and then continuously track those other numbers that I mentioned earlier. That buys time to come up with a plan should any of the numbers trend the wrong way.

However, I would ask about the comment in the MRI report about “…. Target #1: contact with capsule; suspicion for extracapsular extension (4 of 5).