PSMA pet scan results

[Rfs1975]

Just had my scan on 9/17/24, prior to my scan my PSA was 0.80. I'll be speaking with my MO on 9/23. Any feedback would be helpful. Thanks

EXAM DESCRIPTION:

18F-piflufolastat (PYLARIFY) PSMA targeted PET/CT

COMPARISON:

PET PSMA dated November 7, 2023

INDICATION:

History of prostate cancer status post prostatectomy (2017) with slow elevation PSA level to 0.7.

FINDINGS:

Physiologic distribution of tracer is seen in the salivary and lacrimal glands, liver, spleen, ganglia, bowel, kidneys and urinary tract.

Evaluation of the prostate bed: Status post prostatectomy. No focal area of increased uptake in the postsurgical bed.

Evaluation of lymph nodes: There are no PSMA avid lymph nodes.

Evaluation of skeleton: Similar focus of minimally increased PSMA uptake within right 1st anterolateral rib with underlying mixed sclerosis (SUVmax 2.3, previously 3.0).

Evaluation of the rest of the body: No abnormal PSMA uptake

IMPRESSION:

1. Slight interval decrease in PSMA uptake within the right 1st anterolateral rib, which likely represents focal fibrous dysplasia.

2. No new PSMA avid lesions.

[Tall_Allen]

Something is causing your PSA to increase. Maybe FDG or NaF PET scan can discover the source.

[Rfs1975 in reply to Tall_Allen]

Tall Allen, thank you! I will discuss both options with my MO