This past week I started IMRT for a local recurrence after prostatectomy in 2015. The local recurrence is a palpable lesion (discovered during a DRE) that was confirmed by PET PSMA and MRI imaging. My PSA is 0.11. One of my pelvic lymph nodes showed nonspecific activity on the PET with SUV = 1. The radiologist favored this to be inflammatory rather than a met. My RO also spoke with the radiologist to confirm that opinion. Nonetheless, my pelvic lymph nodes are being treated prophylactically, at the recommendation of my RO. All my readings of the medical literature convinced me that the lymph node treatment is a good call (better chances of favorable treatment outcome). No biopsies involved.