History of recurrent bladder cancer. Evaluate disease status. History of vaginal bleeding. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis within a normally distended gallbladder. No focal suspicious liver lesion.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Numerous bilateral simple and minimally complex proteinaceous/hemorrhagic renal cysts and too small to characterize hyperintensities.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Incompletely characterized right lower lobe lung nodule.PELVIS:UTERUS, ADNEXA: The patient is status post hysterectomy. In the expected region of the vaginal cuff there is a lobular enhancing mass lesion measuring 5.1 x 3.7 cm (series 110/53) which demonstrates FDG avidity on same day PET/CT, compatible with tumor.BLADDER: Status post cystectomy with right lower quadrant ileal conduit.LYMPH NODES: Prominent periportal lymph nodes are nonspecific. Shotty subcentimeter retroperitoneal lymph nodes are noted. The largest is a distal left periaortic lymph node measuring approximately 8 mm (series 7/7) in short axis. Additional prominent distal aortocaval and aortic bifurcation lymph nodes.BOWEL, MESENTERY: Large right lower quadrant parastomal hernia containing bowel loops without evidence of complication.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mildly prominent lower retroperitoneal lymphadenopathy. Correlate with same day PET/CT findings.2. Enhancing soft tissue in the region of the vaginal cuff is also compatible with local tumor recurrence.3. Incompletely evaluated lung nodules. Correlate with same day PET/CT findings.