@magicbearcat1 You will DEFINITELY target the lymph nodes - and if you are worried about further spread ( as I would), getting on Orgovyx now and not waiting for a scan (which will probably show nothing) is your best bet.
Mentally, I prefer being proactive and actually DOING something, rather than sitting on my hands squirming with anxiety.
Your PSA trend is pretty clear and pretty fast so adjuvant therapy would be my first choice; it’s convincing the RO which may take some doing…Best,
Phil