57-year-old female with history of sarcoma. Please evaluate for recurrence and extent of disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. Punctate T2 hyperintense focus of the inferior pancreatic body (coronal series 4 image 23) is unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrectomy. Small simple cysts of the left kidney. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Stable soft tissue nodule adjacent to the medial aspect of the right diaphragmatic crus measuring 2.1 x 1.3 cm (series 9 image 32) (prior 2.2 x 1.2 cm). Enhancement is most evident on the delayed series.There is a new fat signal intensity lesion of the right posterior diaphragmatic crus measuring 1.7 x 2.7 cm (series 7 image 41). This lesion is hyperintense on the T2 fat saturated sequence (series 9 image 42). Peripheral enhancement is noted on the delayed postcontrast sequence (series 13 image 463).BOWEL, MESENTERY: Status post right hemicolectomy with ileocolonic anastomosis.Adjacent to the ileal colonic anastomosis, there is a new 5.4 x 4.9 cm T2 hyperintense lesion (coronal series 4 image 23) with fat signal intensity. Hyperintense signal intensity is noted on the fat saturated T2 sequence (series 9 image 44). Mild peripheral enhancement is seen on the delayed postcontrast sequence (series 13 image 455).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Stable small cardiophrenic angle lymph node.
1.New 5.4 x 4.9 cm lesion adjacent to the ileocolonic anastomosis and a new 1.7 x 2.7 cm lesion of the posterior right diaphragmatic crus. These lesions demonstrate fat signal intensity and peripheral enhancement on the delayed series. These findings are concerning for liposarcoma recurrence.2.Stable right retroperitoneal soft tissue nodule adjacent to the right diaphragmatic crus medially.