The additional suspicious lesions detected with [18F]DCFPyL were found in the lumbar vertebra L2 in a patients with bone metastases in the left humerus and the right femur (patient 2), in a pelvic lymph node beyond the vena cava inferior in a patient with a concordant left iliac PSMA-positive lymph node metastasis (patient 7), and in mediastinal, left cervical, left supraclavicular, left axillary lymph nodes as well as in the thoracal vertebra Th3 and the sternal processus xiphoideus in a patient with concordant PSMA-positive retroperitoneal lymph node metastases (patient 12). The gene discussed is FOLH1; the disease is metastatic malignant neoplasm in the lymph nodes.