Prostate concerns high PSA numbers
PSA numbers 1/20/22 3.47 PSA
1/6/23 5.21 PSA
1/30/23 5.59 PSA
Had office exam, large prostate.
Had MRI and results below:
Prostate gland dimensions: 4.6 x 3.5 x 3.8 cm
Prostate volume:32.0 mL
PSA density: 0.17
There is moderate hypertrophy of the transition zone with mild hypertrophy of the median lobe.
Lesion 1-PI-RADS 4
Focal T2 hypointense signal in the left anterior peripheral zone at base measuring 0.7 cm at the transition zone junction (7:16) with significant diffusion restriction and early preferential postcontrast enhancement.
Lesion 2-PI-RADS 4
Somewhat linear T2 hypointense signal in the left posterior lateral peripheral zone at apex with moderate diffusion restriction and minimal preferential postcontrast early arterial enhancement (9:17) measuring 0.6 cm.
Lesion 3-PI-RADS 3
Mild T2 hypointense somewhat wedge-shaped signal in the left posterior medial peripheral zone at base to mid gland with mild obstruction, without significant postcontrast enhancement measuring approximately 0.7 cm.
Additional scattered linear and wedge-shaped T2 hypointense signal foci within the bilateral peripheral zones do not demonstrate diffusion restriction and are likely inflammatory in etiology. (PI-RADS 2).
Scheduled for a transrectal biopsy, since Kaiser (carrier in Oregon) does not do transperineally biopsy.
Any input on my numbers or if this is the correct direction to go? I'm at a lost