The PI-RADS score is seen on prostate examination and a score of 3 suggests the presence of some possibility of malignancy. Further diagnostic workup such as a puncture pathology biopsy is recommended. The PI-RADS score is the result of an MRI examination of the prostate, which is performed by an imaging physician taking into account the size and presence of calcification. Clinical literature suggests that the detection rate of prostate cancer in all prostate lesions with a PI-RADS score of 3 ranges from 11.2% to 50%. Further ultrasound-guided fine-needle aspiration pathologic biopsy is recommended for areas of suspicious lesions suggested by a PI-RADS score of 3. In the presence of adverse pathologic findings, prompt hospitalization is recommended.