You read BEFORE my appoinment

[Fozzworth]

I have my PMSA PET scan results but my follow-up is not until next week: Can I get your impression first (FYI, previouisly diagnosed with nodular sarcoidosis for lung nodules that are benign

IS THIS THE GOOD NEWS I THINK IT IS?

Procedure: PET/CT Illuccix PSMA Prostate Scan

Date: 11/13/2024

Indication: Prostate cancer staging (PSA level: 13)

Patient Class: Outpatient

Facility: Norton Diagnostic Center

Location: $%%&^

Technique:

Administered 6.28 mCi Gallium 68 Illuccix PSMA with a 66-minute uptake time.

Routine PET-CT imaging performed from the skull base to proximal thighs, with concurrent CT for anatomic correlation and attenuation correction. ALARA protocol used for radiation dose reduction.

Comparison: None

Findings:

Head/Neck: No abnormal uptake; physiologic uptake in salivary and lacrimal glands.

Chest: No abnormal uptake.

Abdomen: No abnormal uptake; physiologic uptake in the spleen, liver, small bowel, and urinary tract (background liver uptake SUV mean of 4.5).

Pelvis: Focal nodular uptake in the midline posterior prostate near the base to mid-gland. This area shows an SUV max of 3.9, identified as the primary site of abnormal uptake. No avid pelvic lymph nodes.

Bones/Soft Tissues: No abnormal uptake observed.

Other Findings:

Partially calcified mediastinal and hilar nodes.

Multiple small, scattered bilateral noncalcified pulmonary nodules, with some in a perilymphatic distribution. None demonstrate abnormal uptake.

Borderline enlarged spleen (13.5 cm anterior-posterior).

Small right renal cyst and signs of sigmoid diverticulosis without acute inflammation.

Impression:

Focal nodular uptake in the prostate consistent with primary malignancy.

No additional evidence of metabolically active disease.

Multiple subcentimeter pulmonary nodules without abnormal uptake, suggesting against metastases; distribution and partially calcified lymph nodes favor a granulomatous process, with sarcoidosis considered. Pulmonology consultation and comparison with prior imaging are recommended.

[Tall_Allen]

No detectable distant metastases.

[addicted2cycling]

Thinking that T_A has it right.

and

addicted2cycling wrote 5 days ago -- " Take a chill pill and do some research in addition to reading the replies you will be getting. "

👍👍I'll 2nd that reply. 😉

[Laguy01]

i am no doctor but reading it looked good but like i said i am no doctor. God Bless and good luck.

[tarhoosier]

Lacrimal (tear) glands, salivary, spleen and liver are normal locations for the tracer because they are blood rich. Urinary tract is excretion path. For this tracer and scanning technique those locations are to be ignored. The scan reader must note them. It is not his call to say they are without importance.