Reason: Well-differentiated papillary mesothelioma with invasive foci. Please compare to prior outside exams. ABDOMEN:LIVER, BILIARY TRACT: Normal signal intensity of the liver with homogeneous enhancement. No focal liver lesion is identified. There is no biliary ductal dilatation. The gallbladder is normal in appearance. No gallstones are identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small right renal cysts are identified. There is no hydronephrosis.RETROPERITONEUM, LYMPH NODES: No soft tissue density is seen in the left lower quadrant to correlate with findings on outside CT. There is no definite evidence of metastatic or recurrent disease in the abdomen or pelvis.BOWEL, MESENTERY: The bowel is of normal caliber without obstruction. The appendix appears normal.BONES, SOFT TISSUES: Mild degenerative disc disease affects the lower lumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus is normal in appearance. The left ovary is atrophic. The right ovary is not visualized.BLADDER: No significant abnormality noted.LYMPH NODES: Subcentimeter pelvic lymph nodes are present.OTHER: Bilateral breast implants are noted.
1.No measurable disease is identified in the abdomen or pelvis.2.Subcentimeter pelvic lymph nodes, which are not enlarged by size criteria.