Reason: Metastatic prostate cancer needs re-evaluation and compare to previous scans. Per RECIST 1:1 bi-dimensional measurements where applicable. History: Metastatic prostate cancer needs re-evaluation and compare to previous scans. Per RECIST 1:1 bi-dimensional measurements where applicable. LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Gallbladder is unremarkable.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is diffusely atrophic with mild pancreatic ductal dilatation, unchanged.ADRENAL GLANDS: No adrenal nodularity or thickening.KIDNEYS, URETERS: The kidneys enhance symmetrically. Multiple bilateral simple cysts. No hydronephrosis or ureteronephrosis. RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Post surgical findings from ileal conduit are present, with ostomy in right lower quadrant. No mesenteric adenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: Status post cystoprostatectomy. Fluid collection in the resection bed in the right hemipelvis measures approximately 4.0 x 3.4 cm, unchanged from the prior exam. No evidence of abnormal enhancement.BLADDER: Status post cystoprostatectomy.LYMPH NODES: No inguinal, iliac chain, or pelvic lymphadenopathy.BOWEL, MESENTERY: Ileal conduit as above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Postsurgical findings of cystoprostatectomy and ileal conduit. 2.Fluid collection in the right hemipelvis is unchanged, likely postoperative in etiology.3.No specific evidence of disease recurrence or metastasis.