28 year-old female with fibromatosis status post chemotherapy and preparing for surgery/XRT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1.2-cm hypodense lesion in segment two of the liver may represent hemangioma, unchanged from MRI 1/7/09SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: The left kidney continues to demonstrate abnormal infiltrative low density throughout, greatest in the upper pole, with some areas of fat density. Dilatation of the left renal collecting system and ureter extends to the proximal third of the ureter, where ill-defined soft tissue obstructs the ureter, unchanged.Upper pole calculus in the left.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Mass in the presacral space as slightly increased in size, measuring 5.8 x 5.0 cm (series 2; image 116), previously 5.4 x 4.7 cm. Another lesion extends into the left perirectal region and ischiorectal fossa, involving the left lateral pelvic side wall and invading the ipsilateral obturator internus muscle. It measures approximately 7.6 x 5.0 cm (series 3; image 124), previously 7.0 x 4.7 cm.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Continued mild increase in size of the known fibrous masses.Unchanged appearance of the left kidney, compatible with xanthogranulomatous pyelonephritis