64 year-old female with a history of metastatic ovarian cancer. Need reevaluation and comparison to previous scans. Suboptimal examination secondary to motion and wraparound artifact.ABDOMEN:LIVER, BILIARY TRACT: Small ventral hernia containing a portion of the liver and a small amount of fluid. Nonspecific thickening of the gallbladder wall may be related to ascites. No evidence of gallstones. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Reference left periaortic lymph node measures 1.5 x 1.4 cm, previously 1.4 x 1.1 cm on prior CT examination dated 12/4/2014 (40; series 13).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Diffuse soft tissue reticulation and subcutaneous edema.OTHER: Note is made of restricted diffusion along the anterior wall of the peritoneal cavity suspicious for peritoneal carcinomatosis.Small ventral hernia containing a portion of the liver and a small amount of fluid. Trace right pleural effusion. Loculated left pleural effusion. Left pleurex catheter in place. Small amount of abdominopelvic ascites. PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: Left external iliac lymph node measures 1.4 x 1.1 cm , previously 1.6 x 1.1 cm (19; series 20).BOWEL, MESENTERY: The previously described mesenteric lymphadenopathy is poorly measured on this examination, secondary to motion artifact.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid within the pelvis. There is an irregular enhancing mass in the pelvic cul de sac/pouch of Douglas which measures 4.2 x 2.6 cm consistent with pelvic peritoneal metastasis.
1.Peritoneal carcinomatosis, as detailed above. No significant interval change in the reference abdominopelvic lymphadenopathy consistent with the stated history of metastatic ovarian carcinoma.2.Loculated left pleural effusion. Pleural metastatic disease cannot be excluded. Left lower lobe consolidation is nonspecific. Superimposed infection cannot be excluded. Small right pleural effusion.3.Anasarca and a small amount of abdominopelvic ascites.