Reason: Hx of bladder cancer- s/p cystectomy with ileal conduit urinary diversion (10/2014) , new dx of colon cancer History: Colon cancer, abd pain. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Postsurgical changes of an ileal conduit with a right lower quadrant ostomy. Left kidney is atrophic. Right renal cysts. No hydronephrosis. RETROPERITONEUM, LYMPH NODES: Enlarged peripancreatic and left paraaortic lymph nodes. For reference, peripancreatic lymph node measures 2.2 x 1.3 cm (series 1100 image 22). BOWEL, MESENTERY: Circumferential bowel wall thickening involving approximately 8 cm of the proximal transverse colon (series 6 image 39) compatible with patient's history of newly diagnosis of colon cancer. Interval decrease in upstream colonic and small bowel wall thickening. Right lower quadrant ileal conduit.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Transverse colonic wall thickening compatible with history of colon cancer with peripancreatic and left para-aortic lymphadenopathy. Interval decrease in upstream colonic and small bowel dilatation. 