As per scan there is recurrence
U have not provided complete bone marrow biopsy report I assume it’s positive now n previously it was negative
Correlation is like this
If bone marrow is positive- we are not able to do high dose chemo n followed by bone marrow transplant- which is one of the option in recurrence of disease
If bone marrow is negative, we collect the stem cell n we can use the above mentioned option
Please get back to me for other queries if any thanks
Next Steps
Send me bone marrow biopsy report
Whole body pet ct