PI Rads between 4 - 5 Abnormality Flagged on MRI of Prostate

Hello Dave

P I Rads 4-5 is a good indicator of cancer although no diagnosis can be given until the biopsy. You have a lowish PSA so all looks good and whatever they find on the biopsy should lead to treatment with a "curative pathway".

I think if they had found anything else on the MRI they would have told you - my last full MRI is worrying when you read it but everything still works!!

Best wishes - Brian.

Hi Dave (Dave HS ) firstly welcome to the forum.  It is a very scary time until you know what is going on, but try not to research on Dr Google as there is so much rubbish it is hard to get the truth.  Feel free to ask on here, you will find everyone very helpful.  So, from what you know, you have a small prostate but an MRI showing an abnormality of concern and your PSA is low.  Unfortunately nobody can tell from those stats and a biopsy needs to confirm just what is happening.  It is likely to be cancer, but sounds to me like you are very early stage.  One thing to remember is that PCa is very slow growing and if found early, very curable.  Have a lovely holiday and remember there is no rush at this stage to do anything.

Thanks Brian ! Much appreciated. 

Thanks David too for the feedback !! If any question pops up I’ll put it it. This community is fantastic and the way you support each other from the different threads that I’ve read is inspiring

When you say Mri doesn't look good when you read report.....what did report actually say if you don't mind me asking. Thank you.

Hello Greenredkite3 

My MRI showed cancer in the prostate and a dark mass on my pelvis. Urology thought it was cancer therefore advanced PCa, Oncology on the other hand did not agree but blasted my pelvic lymph notes with RT just to be sure.

The MRI also included details of a recently broken rib, details that my knees are wearing out - dodgy disks in my spine and my hips aren't the best - but hey ho - I was 66 at the time - 69 now and still going. .

Best wishes - Brian.

Wow! And you seem so cheerful. Thank you for your reply and the hope that you have.  Bit scarey when one speciality says one thing and the other, another. We are new to all this, so am finding these posts so useful.thanks again.

Hello Greenredkite3 

I've aways had a positive attitude - it's just the way we are as a family. If you click on my name or avatar you can read the full 3.5 year journey.

Just to show the funny side, here's a link to a blog I wrote:

 ‘Cancer can’t take my sense of humour’- Brian's story 

Any questions feel free to ask - there's always someone who can answer.

Best wishes - Brian.

Hi Dave HS - are you of slim build?  PIRAD 4 or 5 means that they have a very clear picture from the MRI: it does not indicate severity or grade of cancer.  Don’t worry at this stage: you’re now in the process of diagnosis.  AW

Cheers Alpine Warrior !! I’m of relatively slim build, carrying a bit of extra timber around the waist but nothing major !! That’s reassuring to hear that and thanks for sharing with me too as when u hear the words between PI Rad 4 & 5 you automatically think the worst , from the likes of yourself and Brian AKA Millibob you are incredible people who have such positivity that the help it does people who are scared is hard to quantify !! Keep up the great work AW