66-year-old with history of T3 N1 rectal cancer status post chemo/RT and surgical resection on 9/3/2008. Baseline prior to receiving chemotherapy. CHEST:LUNGS AND PLEURA: 1 to 2-mm pleural-based right upper lobe nodules have not increased in size as compared to the prior examination. These are nonspecific.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Calcified granuloma within the spleen are unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant ostomy has been created in the interval. There is a nonobstructive peristomal hernia. No other abnormalities identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXAE: 1.7-cm near density exophytic lesion off of the uterus is nonspecific. This could represent a leiomyoma. This could not be identified on the previous exam due to lack of intravenous contrast. This could be further evaluated with MRI or gynecologic ultrasound. The uterus is fluid-filled. BLADDER: No significant abnormality noted.LYMPH NODES: No definite lymphadenopathy is identified. The previously described lymph nodes are not identified on the current study. Loops of bowel are in the current location of the previously described lymph nodes.BOWEL, MESENTERY: The rectal wall is thickened, consistent with either the patient's primary malignancy or post treatment changes.BONES, SOFT TISSUES: Degenerative changes affect the lower lumbar spine. There is no evidence of osseous metastatic disease.OTHER: No significant abnormality noted.
1. Rectal thickening is reidentified, consistent with either patient's primary mass or post treatment changes.2. Nonspecific pulmonary micronodules are unchanged from the prior examination.3. Nonspecific 1.7 cm hypodense exophytic lesion off of the uterus. This is nonspecific by CT and could be further evaluated with gynecologic ultrasound or MR as clinically indicated.