@ctsenior Hi, my husband has mets in his lungs and nowhere else, but he has Cribriform prostate cancer which is aggressive and known for distant location mets too. Unfortunately for Frank he is one of the 3% of men who don't react to the PSMA pet scans radioactive material, so both his previous pet scans were negative. His lung nodules have been found by ordinary CT scan. Orgovyx and Abiraterone have worked so far in reducing his PSA as well as the larger lung nodules and the smaller nodules are no longer evident. Thankfully he's feeling great on his current treatment plan and will continue on it until the cancer becomes hormone resistant.
I've just checked and Pluvicto is not currently available in Wales, UK, but hopefully maybe by the time he could would need it.
Good luck with your journey 👍