80 year old female patient with history of rectal cancer. Surveillance imaging. PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: The reference lymph node in the mesorectal fat adjacent to the left aspect of the upper rectum measures 4 x 3 mm (image 7, series 3), previously 4 x 4 mm. BOWEL, MESENTERY: There is minimal linear T2 signal abnormality within the region of previously seen tumor which is compatible with scarring. No abnormal enhancement or measurable tumor is identified. Sigmoid diverticulosis. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a small amount of presacral fluid.
1.Small scarring in the region of prior rectal tumor without current measurable disease.2.Stable reference pelvic lymph node.