I can't find my last post. But have tried all avenues except radiation. Had bone biopsy which showed only prostate cancer. Below is my pmsa scan. Does this mean I am pmsa positive? Next treatment?
TallAllen
PET/CT SCAN PYLARIFY: COMPARISON: CT pelvis August 29, bone scan August 16, MRIcervical and thoracic spine January 2022 PET CT October 14. RADIOPHARMACEUTICAL: 9.7 mCi piflufolastat F 18 (Pylarify)injection administered intravenously. Images were obtained fromthe skull base to mid thighs using attenuation correction. Inaddition, axial non-contrasted CT images were obtained andcorrelated with the PET exam. FINDINGS: Physiologic distribution of radiotracer is seen in the salivaryand lacrimal glands, blood pool, liver, spleen, pancreas,ganglia, bone marrow, bowel, kidneys, and urinary tract. No increased radiotracer uptake in mediastinal or hilar lymphnodes. New focal area of opacity left lung apex measuring 2.8 cmx 2.1 cm SUV 3.4. Surrounding groundglass opacity. Bilateralpleural plaques. Activity at the prostate SUV 5.5 which measuressimilar to the previous activity overall appears more extensivethroughout the prostate. Osseous structures: Widespread osseous metastatic disease. Activelesions involving bilateral proximal femurs, the pelvis, sacrum,spine, ribs, sternum, scapula and bilateral proximal humeri. IMPRESSION: MAXIMUM SUV VALUE OF 5.5 IN THE PROSTATE WITH OVERALL ACTIVITYAPPEARING MORE EXTENSIVE WITHIN THE PROSTATE. WIDESPREAD OSSEOUS METASTATIC DISEASE WITH MULTIPLE NEW ACTIVEBONE LESIONS COMPARED TO THE PREVIOUS NEW FOCAL AREA OF PATCHY OPACITY IN THE LEFT LUNG APEX WITH MILDACTIVITY A FOCAL AREA SOMEWHAT NODULAR, POSSIBLE FOCALPNEUMONITIS ALTHOUGH PULMONARY METASTASIS NOT EXCLUDED. RECOMMENDATTENTION ON SHORT-TERM FOLLOW-UP CHEST CT.. Electronically Signed By: Melinda Dubose, MD 9/2/2022 8:05