53-year-old male patient with ongoing diarrhea and history of bladder cancer status post orthotopic neobladder construction with possible fistula between small bowel and bladder. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintense focus in the right hepatic lobe likely represents a cyst. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Post-surgical changes of a cystoprostatectomy with neobladder formation. There is a right extrarenal pelvis and mild interval increase in right calyceal dilatation. Furthermore, there is focal signal void within the distal right ureter measuring 5 mm, which could represent a stone (image 20, series 8). The left renal collecting system appears unchanged. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild interval increase in right calyceal dilatation with probable distal right ureteral calculus.2.No specific MR evidence of a bladder to small bowel fistula. Findings text-paged to pager 6386 prior to dictation. 