47 years old PSA increase from 2.7 to 4.55 in one year. MRI result of PIRADS 3. Biopsy results (17 samples) 5 on right ride, 1 on left were positive for cancer. 5 are 3+4 and 1 is 4+3. In one result perineural invasion was noticed. I am nervous about spread. I am being too negative?