Recommendation for second opinion on prostate MRI scan?

All MRI’s are not the same. If you can use a multi planner T3 MRI. it’s the best out there. PSMA. Is considered better but you may have to travel to get done Don’t blame you for wanting a second opinion. Radiologist only have 3-4 seconds to read a scan. Too much volume. Scan may not be real clear and bias is always a possibility.

Thanks for your comment. I had a the MRI you described above. State of the art equipment, but yes, I would appreciate any recommendations on second read. From what I understand, the radiologist needs considerable experience in reading prostate scans in order to make reliable interpretation.

What was the MRI interpretation?
Fusion guided biopsy, utilizing the MRI, would be the next step and more definitive than MRI.

I had MRI guided biopsy. Diagnosis was 3+4 (10-20% pattern 4). Recommended treatment because volume of pattern 4 had increased from first biopsy two years ago. I had second opinion of second biopsy from J. Hopkins which was interpreted as 3+3. My urologist still recommends treatment because even if JHopkins interpretation of biopsy slide was correct the MRI was interpreted as PIRADS 5 and showed an increase in size of lesion and pushing against capsule wall. PSA is 9.6.
I am leaning to treatment but want second opinion about MRI from someone who specializes in reading prostate scans before proceeding.

@merwether, if you'd like to seek a second opinion from Mayo Clinic experts, you can request one here http://mayocl.in/1mtmR63

Thank you.

I went to the link you provided and do not see where to request a second opinion on a MRI. Can you provide further details? Thank you.

Above all DO NOT let the cancer get outside of your prostate!! If it does, you'll have a lot more to deal with. Once cancer penetrates a nerve in the prostate,for example, it can use it as a highway to exit the gland and go wherever it wants in your body. It seems you need to speedup your decision making process and take action.

rockin2047 pointed you in the right direction.
I think the MRI is not very relevant post fusion guided biopsy. And the biopsy was interpreted as cancer; G 6 or 7. And the lesion is threatening the capsule.
As was mine. And I had cells migrate beyond the capsule (extraprostetic extension or EPE) which is bad and was a harbinger of my BCR.

Sorry to hear about your experience and hope you are doing well now. I expect a second opinion response on the MRI before the week is out and if it's confirmatory I proceed with treatment plan immediately.
Could you share what your Gleason score was at time of diagnosis?