Metastatic urothelial cancer, evaluate pelvic lymphadenopathy / lymphocele PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Right-sided pelvic collection measures 3.4 x 3.1 cm with nodular enhancement involving its superior aspect (series 1003, image 603). An internal fluid fluid level likely represents hemorrhage. There is an nonenhancing left-sided pelvic fluid collection, which measures 2.9 x 1.4 cm. Mildly prominent inguinal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Right-sided pelvic collection with nodular enhancement along its superior aspect suspicious for tumor recurrence.2.Left-sided pelvic collection with signal characteristics most consistent with a lymphocele.