Stage IIC ovarian cancer s/p debulking (May 2013) and adjuvant chemotherapy (ended Oct 2013) with a recurrence s/p secondary debulking including a splenectomy, brain mass excision and lymph node dissection (November 2015) followed by radiation (December 2015). Per EPIC complex mass/collection seen on pelvic ultrasound 02/2016, confirmed on MRI and subsequently not present ~02/16/2016 without intervening treatment. Negative on today's clinical examination. PELVIS:UTERUS, ADNEXA: Status post hysterectomy and bilateral salpingo-oophorectomy. The previously described heterogeneously enhancing lesion adjacent to the right vaginal cuff is not evident on today's study. There is fluid with internal septations and complexity partially surrounding the mid rectum. This is not associated with restricted diffusion or abnormal postcontrast enhancement.BLADDER: No significant abnormality noted.LYMPH NODES: Stable hyperenhancing left external iliac lymph node measuring 9 mm in short axis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
The previously described mass adjacent to the right superolateral and posterior aspect of the vaginal cuff is no longer evident. There is partially loculated perirectal mildly complex fluid with septations but no discrete enhancing components, unchanged.