73 year-old female with recurrent ovarian cancer. Status post TAH/BSO/tumor debulking and radiation therapy. Evaluate for extent of recurrent disease. Abdominal pain in the right lower quadrant for two weeks. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Note is made of right retrocrural lymphadenopathy, which extends above the level of the diaphragm into the chest, measuring 2.5 x 1.9 cm (36; series 601). There are numerous prominent retroperitoneal lymph nodes which demonstrate restricted diffusion.BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS: Metallic susceptibility artifact from a right total hip arthroplasty device limits evaluation of the pelvis.UTERUS, ADNEXA: Status post hysterectomy and bilateral oophorectomy.BLADDER: No significant abnormality noted.LYMPH NODES: Reference left common iliac lymph node measures 1.2 x 0.9 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the left hip.OTHER: There is a small amount of free fluid within the pelvis. Again seen is a fluid signal intensity collection in the soft tissues along the midline of the anterior abdominal wall, measuring 3.0 x 0.7 cm, previously 5.9 x 1.5 cm.
Postsurgical changes with persistent retrocrural lymphadenopathy. There is no significant interval change in the previously described reference pelvic and retroperitoneal lymph nodes. 