27 year old female with rectal cancer. Evaluate disease status. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules are stable in size and number, the largest measures 1.5 x 1.5 cm (image 53, series #4).MEDIASTINUM AND HILA: No evidence of adenopathy. CHEST WALL: The right-sided venous port terminates within the right atrium. 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: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: A fibroid projects from the uterine fundus, better visualized on MRI 8/31/09.BLADDER: No significant abnormality noted.LYMPH NODES: 4.5 x 8.1 cm left adnexal mass lesion (image 169, series #3) likely conglomerate adenopathy with ovary. Complex cystic mass in the right adnexa is stable on the current examination.BOWEL, MESENTERY: Ill-defined rectal thickening remains.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace ascites.
1. Stable adnexal masses. 2. Stable pulmonary metastases.