Welcome back to icliniq.com. I had a chance to go through the images. As I am a cancer physician, I do not usually review prostate MRI (magnetic resonance imaging) images unless it is biopsy-proven prostate cancer. If there is a report of the MRI from the radiologist, that you could share, that would be helpful. The high PSA (prostate-specific antigen) that was recorded a year ago may be due to one of two reasons - 1. The test was done immediately after a rectal exam. 2. You had a prostatic infection, which has since resolved and your prostate specific antigen (PSA) is back to normal. As such your scrotal pain could be due to a number of causes and your urologist is probably best placed to help you with that. As of now, your symptoms do not look suspicious or suggestive of anything sinister. On the MRI, there does not seem to be anything out of the ordinary. The prostate is a little large but is probably appropriate for your age. There seem to be areas of different hypo intensity inside the prostate, probably healed infection (but I am not an expert on that; the radiologist is best placed to answer that). Please reply if you have any more queries or more information to share.