Reason: history of pelvic rhabdomyosarcoma; treated with chemotherapy and radiation; palpable nodules to lower back that are painful and increasing in size; MRI on 10/01/16 noted distended bladder. PELVIS:UTERUS, ADNEXA: Status post hysterectomy and partial pelvic exenteration. No adnexal mass is seen.BLADDER: The bladder is mildly distended, but appears normal. LYMPH NODES: No pelvic lymphadenopathy is identified.BOWEL, MESENTERY: The visualized bowel is normal in caliber without evidence of obstruction. No abnormal bowel wall thickening is seen.BONES, SOFT TISSUES: There is mild disc desiccation and disc bulge at L4-5, without nerve root compression, as previously described on recent MRI lumbar spine. No abnormal focal marrow signal abnormality or pathologic enhancement.OTHER: A small amount of free fluid is present in the pelvis which is likely physiologic. No subcutaneous nodule is identified.
1.Stable postsurgical changes related to hysterectomy and partial pelvic exenteration. No evidence of recurrent disease.2.Mild disc desiccation and bulge at L4-5, as previously described on recent MRI lumbar spine.