FOLH1 and posterior cortical atrophy: Efforts have been made to enhance MRI’s ability to detect PLNM,4,5 and the introduction of prostate-specific membrane antigen positron emission tomography (PSMA PET) has also shown promise in staging high-risk PCa.6 Despite improvements, considerable limitations remain, especially when considering the ongoing low sensitivity of PSMA in detecting normal-sized PLNM.6–8