I had the same thing on my pre-treat PSMA; suspicious lesion on femur. But my RO ruled it out. He said bony lesions usually present with other areas in the prostate bed - not solitary and by themselves.
I want to believe that but haven’t others on this forum had bony lesions without other areas showing? I think they have.
So if my PSA remains elevated or goes up, another PSMA will be ordered and maybe they’ll decide that the ‘previously suspicious but not metastatic’ lesion really WAS cancer and then it’s SBRT time.
One thing to add, many large health facilities use ‘radiology mills’ in Mumbai - not joking! Why pay a staff radiologist with benefits when a certified RAD. In Mumbai will read your scan for pennies?
Unless you can prove otherwise, I would bet that the same MD did not read your scans. It becomes like Gleason scores - depends on who reads the slides.
Phil