Below is the report on my PSMA PET 2 days ago. Wondering what I can do next. Was thinking of radiation of remaining 3 mets and possibly the prostate again (finished 20 rounds on 5/4/22). Suggestions? Thank you.
TUMOR (known or suspected): Mild prostatomegaly which mildly impresses upon the posterior bladder base. The prostate now demonstrates significantly decreased PSMA uptake, as compared to prior PET/CT, now with low grade uptake (max SUV 2.7).
NODES (regional): The previously demonstrated retroperitoneal lymph node now has significantly reduced PSMA uptake, similar to the background. No new or enlarging lymphadenopathy.
METASTASES (known or suspected):
Redemonstrated minimally sclerotic left scapular lesion with minimal PSMA uptake (max SUV 1.3), similar to prior. Redemonstrated minimally sclerotic lesion within the anterolateral right fifth rib with mild PSMA uptake (max SUV 5.4) and CT occult lesion within the anterior left fourth rib with minimal PSMA uptake (max SUV 1.9), both of which are not significantly changed in comparison to the prior PET/CT.