69-year-old male with history of rectal cancer and a fistula treated with chemoradiation in 2012. Evaluate for recurrence. PELVIS:PROSTATE/SEMINAL VESICLES: Prostamegaly again noted.BLADDER: Persistent circumferential bladder wall thickening, likely due to patient's benign prostatic hypertrophy and/or radiation therapy.LYMPH NODES: No evidence of lymph nodes in the perirectal space within the mesorectal fascia. No evidence of lymph nodes outside of the mesorectal fascia.BOWEL, MESENTERY: No evidence of abnormal soft tissue thickening in the rectum, perirectal or perianal tissues to suggest tumor recurrence. Persistent intersphincteric perianal fistula at 6:00 position extending to the perineum. No loculated fluid collections.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of tumor recurrence. 2.Unchanged intersphincteric perianal fistula in the 6:00 position.