@surftohealth88 It went as well as it could have. There's something going on there. Unlikely that it's cancer when my PSA is undectectable (< 0.01), but not impossible, so they'll follow up out of due diligence. To start, the oncologist is going to arrange a meeting of radiology and oncology together to do a restrospective review of my imaging over the past 4 years to see if they can resolve the conflicting assessments. After that, we may repeat imaging in 6 months to see if there's any change. A biopsy isn't practical with the cement and screws from the spinal fusion in 2021.

The good news is

1. Whatever it is — cancer or (more likely) bone remodelling — it's stuck between dead bone (from previous radiation) and cement (from spinal fusion), so it has absolutely nowhere to go.

2. While they'd planned to give me SBRT post-op in 2021 (and that's what later notes copied), it turns out I actually had a lower dose because it was so soon after my surgery, so I'm still eligible for SBRT at that spot the future if they decide it's concerning.

3. There's no other sign of possible cancer activity.

So I'm going to decide to go with glass half full. Nothing to worry about for now, and still no solid evidence of progression after four year, just a spot to watch.🥛