Studies have shown the incidence of brain metastases in PC to be 0.16%.2Here, we present the case of a 67-year-old man with PC, who underwent radiotherapy, maintained on hormonal therapy, with raising serum prostate-specific antigen (Sr PSA) levels and underwent gallium-68 prostate-specific membrane antigen positron emission tomography/computed tomography (68Ga PSMA PET/CT) scan for evaluation. Here, FOLH1 is linked to pachyonychia congenita.