50 year old male patient with restaging appendiceal cancer. ABDOMEN:LIVER, BILIARY TRACT: The patient is status post cholecystectomy. Scattered punctate T2 hyperintense foci are too small to characterize, but likely cysts. No suspicious hepatic lesion is identified. The hepatic vasculature is patent. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral percutaneous nephrostomy tubes with stable mild hydronephrosis. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post right hemicolectomy. Mild peritoneal surface thickening without discrete nodular enhancement.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No measurable solid disease seen in the abdomen or pelvis.2.Decrease in size of a fluid pocket within the rectovesical pouch with wall enhancement; this is favored to represent continued evolution of a postoperative collection.3.Redemonstration of peritoneal surface and serosal bowel wall surface thickening and pelvic small bowel mesentery haziness but no discrete nodular enhancement. Differential includes postsurgical changes from extensive peritoneal surface stripping although residual tumor is not excluded.