It appears from the report that they found suspicious “positive” PSMA activity at the bladder neck and back of the bladder also some “low grade” PSMA activity in two pelvic lymph nodes. Everything else seems clear ( organs and bones)

The next step would be a pelvic MRI to confirm the lesions and perhaps a biopsy if it appears to be cancer.

The good news is that PSMA pet scans can detect very small amounts of cancer in an early stage. You Urologist will guide you in your treatment options.

I had a rising PSA many years after surgery and had a PSMA petscan last summer that was inconclusive but showed suspicious activity in the bladder. An MRI confirmed the presence of a 2mm lesion and biopsy confirmed that it was Gleason 9 (4+5) cancer.

My treatment plan was Eligard injections with abiraterone ADT for one year and 37 fractions of IMRT radiation to the pelvis and expanded to include pelvic lymph nodes. I am 3 months past radiation treatment and recovering slowly from the symptoms. I am currently still on ADT for another 4 months. It appears that the cancer is in remission at this time.

I hope this helps. I wanted you to know that we have something in common.

My favorite sources of information:

Prostate Cancer Research Institute (PCRI.gov)

National Cancer Institute (Cancer.gov)

American Cancer Society (Cancer.org)