Incidental finding of 68Ga-PSMA uptake in covid-19 induced pneumonia

A 68 years old man with prostate carcinoma was referred for 68Ga-PSMA PET/CT scan because of recent significant rise of PSA. He complained of muscle weakness and fatigue, since 3 weeks before the scan, without dyspnea or shortness of breath. In his 68Ga-PSMA-611 PET/CT study, widespread skeletal metastasis, as well as liver involvement were noticed. Also, multiple bilateral patchy areas of ground glass opacities were noticed in peripheral areas of both lung fields, which showed typical pattern of covid-19 pneumonia. These lung lesions showed relatively significant PSMA uptake which were about twice of the liver uptake. Serology test which was performed later, confirmed covid-19 infection.