History of sarcomatoid prostate cancer. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions, not significantly changed. No pericardial effusion.LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement without a suspicious focal lesion. Segment IVb punctate focus, is too small to characterize, likely a small cyst (series 21, image 58). No intra or extrahepatic biliary ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several bilateral simple cysts. Extrarenal pelvis bilaterally. No hydroureteronephrosis. No suspicious lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from ileal conduit formation with ostomy in the right lower quadrant. The bowel is unremarkable. No mesenteric lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: Status post cystoprostatectomy. Bowel loops have descend into the surgical bed. No specific evidence of soft tissue tumor recurrence in the surgical bed. Persistent partially loculated fluid in surgical bed extending towards the right hemipelvis, measuring approximately 3.6 x 2.7 cm (series 5/41).BLADDER: Status post cystoprostatectomy.LYMPH NODES: No enlarged pelvic lymphadenopathy.BOWEL, MESENTERY: Ileal conduit as above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stable examination without evidence of disease recurrence or metastases. Stable postsurgical changes from cystoprostatectomy and ileal conduit.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.