History of urethral cancer status post exenteration with Indiana pouch, surveillance imaging. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Stable mild extrahepatic biliary ductal dilatation, similar to prior and likely related to cholecystectomy. No focal hepatic lesions are identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Minimal expected bilateral hydroureteronephrosis with ureteral diversion into the right lower quadrant Indiana pouch. The kidneys enhance and secrete symmetrically. The previously described punctate focus of delayed enhancement in the right renal pelvis is no longer visualized. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes of the spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Postsurgical changes of anterior pelvic exenteration.BLADDER: Status post cystectomy.LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes of the spine.OTHER: No significant abnormality noted.
Postsurgical changes without evidence of recurrence or metastatic disease. Previously described focus of delayed enhancement in the right renal pelvis is not seen on this examination.