The MRI scan shows suspicious areas. A biopsy will be the diagnosis confirmation. When they did my MRI they found two suspicious areas. My urologist said I had a 70% chance that those suspicious areas would be cancer. I am not sure what your urologist or radiologist is stating but I chose to find out thus biopsy.

You medical records can be sent to another provider for a second opinion. But I hate to say this you are not going to know if cancer or not without a biopsy. My urologist was quite adamant about just he MRI showing suspicious areas as prostrate cancer is very different from other type cancers.

I do not know where you live but Mayo Clinics do second opinions. My MRI used a barium and a probe (in rectum) that made the prostrate stand out and be more clear. It was done a Mayo. Even though I have a pacemaker/ICD they worked with Pace Clinic and were able to do the MRI.