@tommm
Do you know how big your prostate is? A large prostate along with BPH could cause the high PSA issues you’ve been having. I know somebody who had a huge prostate, his PSA was always around 50 but a biopsy never found anything. Have you had any BPH problems? Have they ever put you on an antibiotic for your prostate? Those can affect your PSA.

A PIRADS 2 Barely Calls for a biopsy.

Good to hear you’re having another MRI before the next one.

Sometimes the cancer is in a spot that is not detected by the MRI. You can get a PSE test to see if you have cancer in your bloodstream and then a biopsy makes more sense. The PSE test is 94% accurate. If it finds something then they should do a much more thorough biopsy, more cores, To see if there’s something anywhere in your prostate.