Male; 66 years old. Reason: urothelial cancer, s/p chemoradiation, restage History: urothelial cancer, s/p chemoradiation, restage ABDOMEN:LUNG BASES: Large right and small left pleural effusions, partially visualized. See report from CT chest performed on the same day.LIVER, BILIARY TRACT: No focal hepatic lesions. Distended gallbladder, which may be due to fasting state. No biliary ductal dilation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable atrophic right kidney. No hydronephrosis. MR urogram images are limited in the upper abdomen due to pleural effusions and motion artifact. However, the distal ureteroenteric anastomosis is well-visualized and appears patent with no definite recurrent disease.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Moderate.BOWEL, MESENTERY: Small hiatal hernia. Mild dilation of proximal small bowel loops, similar to prior study and suggestive of persistent partial distal small bowel obstruction.BONES, SOFT TISSUES: Right mid anterior abdominal wall ileal conduit. Mild body wall anasarca.OTHER: Mild abdominopelvic ascites.PELVIS:PROSTATE, SEMINAL VESICLES: Status post cystoprostatectomy.BLADDER: Status post cystoprostatectomy.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: Mild body wall anasarca.OTHER: Mild abdominopelvic ascites.
1. No evidence of recurrent or metastatic disease in the abdomen and pelvis.2. Findings suggestive of persistent partial distal small bowel obstruction.3. See report from CT chest performed on the same day.