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70 year old patient with PSA of 5.3 ng/ml. Bilateral prostate disease was seen on fluciclovine PET; (A) fused PET/CT image showing the prostate lesions (blue arrows). Mild fluciclovine uptake in the right obturator lymph node (arrows) measuring 0.4×0.4 cm was seen on (B) CT, (C) PET and (D) fused PET/CT and considered benign but was malignant on histology (false-negative).
