History of bladder cancer status post radical cystectomy. Evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and enhancement. No biliary ductal dilatation focal suspicious lesion or vascular abnormality.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post left nephrectomy. No evidence of tumor recurrence in the nephrectomy bed.Stable right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: Status post cystoprostatectomy.BLADDER: Status post cystoprostatectomy.LYMPH NODES: Solidly enhancing left pelvic nodule measures 1.6 x 1.0 cm (series 18/29; series 14/30), compared to 0.9 x 0.5 cm previously.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: 6-mm low T1, high T2, enhancing focus in the right sacral ala is unchanged since prior. OTHER: No significant abnormality noted.
1.Slight interval increase in size of the solidly enhancing left pelvic lesion.2.No new sites of disease.