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A 63-y-old man with T2cN1, Gleason 5 + 4 prostate cancer after prostatectomy. Time from treatment is 1.3 y; prescan PSA level is 0.44 ng/mL, and PSAdt is 2.2 mo. 18F-DCFPyL PET/CT demonstrates subcentimeter bilateral pelvic nodes and right fifth rib focus (arrows). Biopsy confirmed bone metastasis.
