59-year-old female with history of vulvar melanoma. PELVIS:UTERUS, ADNEXA: There is a multilobulated peripherally enhancing lesion based in the right perineum extending to the skin surface of the right labia minora with some areas of intrinsic high T1 and intermediate T2 signal abnormality which is compatible with patient's known history of melanoma. The medial border abuts the anus but does not seem to invade it. The urethra is spared.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent right inguinal lymph noes are present measuring up to 12 mm in short axis (26/401).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Probable injection granulomata in the anterior abdominal soft tissues versus metastatic deposits.
1.Multilobulated lesion centered with the right perineum compatible with patient's known history of melanoma as described above.2.Suspicious right inguinal lymph node.