Reason: hx of urethral cancer s/p radical cystectomy with indiana pouch, please assess for recurrence History: see above. ABDOMEN: Examination limited by motion artifact.LIVER, BILIARY TRACT: Postsurgical changes of a cholecystectomy. Stable mild extrahepatic biliary ductal dilatation, unchanged and likely related to cholecystectomy. No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Minimal expected bilateral hydroureteronephrosis with ureteral diversion into a right lower quadrant Indiana pouch. Within the right pelvis, there is a punctate focus of delayed enhancement, which may represent early excretion of contrast (series 103 image 81).RETROPERITONEUM, LYMPH NODES: No lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes of the spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Postsurgical changes of anterior pelvic exenteration. BLADDER: Postsurgical changes cystectomy. LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes of the spine. OTHER: No significant abnormality noted.
Post surgical changes with no definite evidence of recurrence or metastatic disease. Punctate focus of delayed enhancement in the right renal pelvis may represent early excretion of contrast. Recommend special attention paid on future examinations. 