History of bladder cancer status post radical cystectomy with orthotopic neobladder, urinary diversion, evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: Stable subcentimeter parenchymal T2 hyperintensities. Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal cysts. Postsurgical changes to the right kidney. The kidneys enhance symmetrically without suspicious focal lesions. No filling defects are seen within the renal collecting systems and opacified portions of the ureters.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Previously described lymph node adjacent to the right psoas muscle measures 0.9 x 0.7 cm (series 8, image 40), not significantly changed. The distal colon is redundant.BONES, SOFT TISSUES: Sacral perineural cysts are again incidentally noted..PELVIS:PROSTATE, SEMINAL VESICLES: Status post cystoprostatectomy with neobladder formation.BLADDER: Status post cystoprostatectomy with neobladder formation.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Postsurgical changes without definite evidence of residual or recurrent disease.