42-year-old male with history of bladder cancer status post radical cystectomy with orthotopic neobladder. Evaluate for metastatic disease. 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: No evidence of hydronephrosis..RETROPERITONEUM, LYMPH NODES: Mildly prominent lymph nodes adjacent to the left renal vein are unchanged. No evidence of lymphadenopathy.BOWEL, MESENTERY: No bowel dilatation or bowel wall thickening to suggest small bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: Status post cystoprostatectomy.BLADDER: Status post cystoprostatectomy and neobladder reconstruction.LYMPH NODES: No evidence of lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Again noted is the rind of enhancing prevertebral soft tissue at L1-L4 level is not significantly changed. There is T2 signal abnormality and enhancement at L1 inferior endplate, L2 superior and inferior endplates, and L4 vertebral body near the disc spaces.OTHER: No significant abnormality noted.
1.Interval increased prominence of heterogeneous signal abnormality and enhancement at L1/2, L2/3, and L3/4 with associated rind of enhancing prevertebral soft tissue. Differential considerations include chronic inflammatory/infectious etiology; neoplasm is considered less likely.2.No evidence of visceral organ metastases.