54 year old male with a history of bladder carcinoma status post resection. Restaging examination. ABDOMEN:LIVER, BILIARY TRACT: No evidence of intra- or extra- hepatic biliary ductal dilation. Subcentimeter focus of fluid signal intensity in the dome of the liver is too small to characterize, but likely represents a simple cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple subcentimeter foci of fluid signal intensity are identified within the kidneys bilaterally, which are too small to characterize, but likely represent simple cysts. RETROPERITONEUM, LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: Postoperative changes consistent with the patient's history of bladder resection with neobladder formation. No focal filling defect or enhancing mass lesions are identified to suggest residual or recurrent disease.LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is asymmetric edema type signal abnormality in the left psoas muscle, which may be postsurgical in etiology.OTHER: Note is made of bilateral fluid collections within the pelvis, left greater than right. The left measures 9.3 x 6.9 cm (12; series 9). The right measures 4.1 x 3.2 cm (25; series 9).
1.Postoperative changes without evidence of residual or recurrent tumor.2.Bilateral pelvic fluid collections, left greater than right, likely representing lymphoceles or postoperative seromas.