58-year-old female with recurrent colorectal cancer, restaging after chemoradiotherapy. CHEST:LUNGS AND PLEURA: Biapical scarring. Few bilateral micronodules.MEDIASTINUM AND HILA: Subcarinal lymph node, not enlarged by CT criteria.CHEST WALL: No significant abnormality noted.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: Duplicated collecting system on the left side with upper collecting system showing mild hydroureter in the midportion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Fat containing umbilical hernia. PELVIS:UTERUS, ADNEXA: Surgically removed.BLADDER: No significant abnormality noted.LYMPH NODES: Stable cystic lymph node in the left pelvis measures 9 x 12 mm at image 183 of series 3. BOWEL, MESENTERY: Status post proctectomy with surgical staples near the anus. Small gas and fluid filled left presacral extension of the neorectum is stable, probably post-op change. Lesion in the left rectum seen on the prior MRI and PET exams is not definitely found. BONES, SOFT TISSUES: ScoliosisOTHER: Multiple radiodensities in superficial buttock soft tissues bilaterally may be calcifications - injection granulomata.
Small left peri-rectal lesion seen on prior MRI and PET exam is not seen.Otherwise stable exam. 