@tom123x Your came to Mayo Clinic Connect for a reason and to express your doubts. I'm with @amandajro on this and given what you wrote in your original post your doubts are there for a good reason. Are you overthinking this? Maybe. The PSA test is not 100% reliable and in fact my husband (a pathologist) reminds me frequently that no lab test is 100%. Your doctor has followed through on biopsy and imaging and these are normal (Good news!). If you were my brother I'd suggest you get another opinion. Since you are right there in Phoenix I agree with @leebeth that sending your tests and imaging to Mayo Clinic is a good option. What do you think about this?