This case demonstrates PSMA PET-CT findings of intermediate-risk prostate cancer isolated to the right lobe of the gland. The exam is indicated for staging in individuals with a new diagnosis of unfavorable intermediate risk (Gleason 4+3=7) or higher prostate cancer in order to assess extent of disease spread and help guide therapy.

The intense activity in the kidneys is physiological as is the moderate activity in the salivary glands, liver and spleen. Excreted radiotracer is present in the bladder and bowels.