Originally Posted by: Online Community MemberHi.
There are sites that will tell you all the factors involved in determining pirads scores. They are harder to digest than my wife's homemade lasagna.
I'm not medically trained but would guess that you have a very high likelihood of PCa but that it is contained. I've had two MRIs both gave radiological cancer staging. Did yours? We've recently had two blokes on here who had pirads 5 scores with large lesions. The suspected areas were found to be benign.
There are quite a lot of things to worry about when dealing with prostate cancer results but to me pirads scores would be near the bottom of the list.
As you say, the biopsy will shed more light on your exact condition.
Best of luck with those results👍
Thanks for replying Adrian.
i havent received a full report. I saw one after my last MRI 4 yrs ago which confirmed things such as no sign of local or side wall lymphadenopathy and the bony elements remain unremarkable.
Everytime the urologist writes a letter he sumarises my tests and findings to date and sumarises this old mri as ‘85 cc gland, PIRAD 3 lesion left transition zone, no lymphadenopathy’
Now for my new mri the summary he’s written
‘90cc gland, 4.3cm PIRADs 5 lesion left transition zone, normal seminal vesicles, no lymphadenopathy’.
my brain thats trying to keep positive says the summary suggests by their ommission, that the situation is the same with no lymphadenopathy in the side walls as before and the bony elements still remain unremarkable. My positive brain also says the lesions grown making it a PIRADS 5 and therefore very likely to be cancer and the seminal vesicles have been mentioned this time because the size of the gland puts this area at risk.
However my negative brain keeps jumping in saying……why havent i seen a fuller report (they sent me the summary letter this time 9 days ago, 2 days after the MRI. Why havent i been told about how the bony elements and sidewsll lymphadonapathy are. But Maybe full test results take longer than this.