I have not yet gone for my biopsy, but wanted to get additonal info before doing so. I have an enlarged prostate and my last PSA reading was 3.9total 18% Free down from the previous reading (7 weeks prior) of 4.2 total 17% Free. My MRI was Diffusion weighted with and without contrast.Without reading the entire findings, here is a summary:
"There is an enlarged central zone of the prostate gland which is causing indentation of the floor of the urinary bladder severely. The peripheral zone is thinned out as a result of the enlarged central zone. There is no loss of the normal T2 hperintensity within the peripheral zone. There are no early enhancing lesions that demonstrate early washout within the peripheral zone. However, within the apex of the prostate gland, approximately from 12 o'clock to 6 o'clock axis, there is loss of the normal contour of the peripheral zone without drop in T2 signal. This is of indeterminate etiology."
A recent prior DRE also found the right side of the prostate to be firmer than the left which is soft. Prostate was noted as being asymetrical. I am assuming that much of this report has to do with my BPH. Are there any other red flags? Could any of this help in targeting the right areas in a biopsy?