,HISTORY:,  The patient is a 71-year-old male whose personal physician, Dr. X identified a change in the patient's PSA from 7/2008 (4.2) to 4/2009 (10.5). 
,HISTORY : , The patient is a 71 - year - old male whose personal physician , Dr. X identified a change in the patient 's PSA from 7/2008 ( 4.2 ) to 4/2009 ( 10.5 ) .