Male 67 years old Reason: Surveillance eval History: 67M hx rectal cancer Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Prostatomegaly compatible with BPH. No suspicious lesion is identified on this nondedicated study.BLADDER: Circumferential bladder wall thickening, likely due to the patient's BPH.LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: No pathologically enlarged lymph nodes.Lymph nodes outside the mesorectal fascia: No pathologically enlarged lymph nodesBOWEL, MESENTERY: No abnormal soft tissue thickening in the rectal, perirectal or perianal tissues is seen to suggest tumor recurrence. Unchanged appearance of a previously described intersphincteric perianal fistula remaining in the 6 o'clock position and extending into the perineum. No significant surrounding edema. No loculated fluid collections are identified. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of tumor recurrence. 2.Intersphincteric perianal fistula in the 6 o'clock position is unchanged.