AI Article Synopsis

  • A 64-year-old man, previously treated for prostate cancer, showed an increase in prostate-specific antigen (PSA) levels after surgery.
  • The patient underwent 18 F-DCFPyL PET/CT, revealing a brain lesion linked to prostate-specific membrane antigen, alongside an MRI that showed a small hematoma in the left frontal lobe.
  • Despite having experienced a seizure three weeks prior, the patient remained asymptomatic, and subsequent MRI scans exhibited a natural decrease in the size of the hematoma without any medical intervention.

Article Abstract

A 64-year-old man with history of prostate cancer was found to have rising prostate-specific antigen after radical prostatectomy. 18 F-DCFPyL PET/CT demonstrated a prostate-specific membrane antigen-avid brain lesion in the left frontal lobe and no other findings to account for rising prostate-specific antigen. Brain MRI demonstrated a small intraparenchymal hematoma with late subacute features in this location. The patient reported a seizure 3 weeks before but was otherwise asymptomatic, and neurologic examination was normal. Follow-up MRI demonstrated gradual decrease in size of the hematoma without treatment.

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http://dx.doi.org/10.1097/RLU.0000000000005011DOI Listing

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