54-year-old male with history of rectal cancer status post chemoradiation. Evaluate for evidence of disease. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant interval change in the very low T2-weighted signal intensity affecting the anterior aspect of the distal rectum favoring posttreatment-related scarring. The signal abnormality again is noted to abut the posterior to the prostate. No measurable intermediate T2 signal weighted intensity, restricted diffusion, or abnormal enhancement to suggest residual disease.BONES, SOFT TISSUES: No mesorectal lymphadenopathy. Bilateral fat-containing internal hernias.OTHER: No significant abnormality noted.
Stable posttreatment related residual scarring/fibrosis at the anterior rectum without measurable disease. No suspicious pelvic lymphadenopathy.