Female 43 years old Reason: s/p pelvic tumor resection History: s/p pelvic tumor resection. Additional history from EPIC notes; status post retroperitoneal approach resection of sacral mass 03/13/15. PELVIS:UTERUS, ADNEXA: There has been interval hysterectomy. Unremarkable appearance of the bilateral ovaries. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes in the right anterolateral pelvic wall.OTHER: Postsurgical changes status post resection of presacral mass. There is a 7.1 x 3.7 cm nonenhancing, mixed solid and fluid collection in the presacral space extending along the right internal iliac vessels. The appearance is suggestive of postsurgical hematoma. There is additional perirectal hematoma.There is a 1.7 x 1.6 cm ( series 1405, image 400) T2 isointense/progressively enhancing focus along the right S2/S3 neural foramen nerve root which is consistent with residual tumor.
1.Postsurgical changes in the presacral space with moderate postoperative hematoma. 2.1.7-cm enhancing focus along the right S2/S3 neural foramen consistent with residual tumor.