Female 52 years old Reason: assess patient prior to surgery History: large recto-sigmoid colon mass UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: Right external iliac enlarged lymph node measuring 12 x 8 mm image #33, series #80295.BOWEL, MESENTERY: There is diffuse wall thickening of the rectum which may be compatible with patient's known history of rectal cancer. There is a 3 x 2.2 cm hypodense lesion posterior lateral to the rectum on the right side, best seen on image #40, series #80295. This lesion abuts the presacral space and may be communicating with the vagina. This lesion may represent an abscess. MRI may be more helpful for better delineation the lesion and its characterization.Right lower quadrant ostomy.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Rectal wall thickening compatible with patient's known history of rectal cancer. Possible abscess with fistulous communication to the vagina. MR may be helpful for further evaluation of this lesion.Right pelvic adenopathy.