As you probably have already guessed your cancer has spread outside the prostate. The finding of “ PSMA avid metastatic lymphadenopathy in the pelvis, retroperitoneum, and mediastinum.” indicates the spread of prostate cancer to these regions. This finding, often detected through PSMA PET/CT scans, suggests advanced stage IV prostate cancer.

2.1 cm LEFT superior mediastinal node with max SUV 8.0 is suspicious of a malignancy in the lung.

This report shows a lot of issues, You need to speak to your doctor to get clarity on what else is going on.

In this situation, there is usually a recommendation for triplet therapy To stop the cancer from growing and to use chemo to try to eliminate in other areas of the body.