@beachflyer well, my mri didnt come back clear, so it is not like your case. And more than that, so much points toward its being a very small nodule from bph. Density, lesion size, radiologist's suggesting it is extruded hyperplastic nodule, near the tz, and no where near the capsule, my prostate being 4 times the normal size, the original psa being some kind of outlier which kicked the whole thing off to begin with., the fact that this same nodule was most likely seen during a ultrasound years ago. Im just not going to have dozens of needles stuck in me without alot more proof. Psa every 3 months sounds more reasonable. Final question, though, how did a mpmri with contrast miss a giant tumor?