
Coronary MIP uptake in this 67-year-old patient provides a first overall view. After a radical prostate resection in 2013, the PSA increased again to currently 0.22 ng/ml. Axial fused images demonstrate focal PSMA enhancement in a pararectal lymph node as small as 3 mm in diameter (yellow arrow). This is therefore, despite the small size suspicious for a lymph node metastasis.