Male 81 years old Reason: History of metastatic prostate cancer to bones, lymph nodes with lower abdominal pain History: pelvic pain, prostate cancer ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyper intensities are too small characterize but may represent cysts. The common duct is dilated measuring 1.1 cm. No filling defect is identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are bilaterally atrophic; right greater than left. No hydronephrosis. Bilateral mild hydroureter and ureteric wall thickening not significantly changed compared to prior studies. Nephroureteric stents in situ.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple sclerotic lesions identified throughout the osseous skeleton consistent with metastatic disease. Evaluation of disease extent and activity is better assessed with nuclear medicine bone scan.OTHER: No significant abnormality noted.
1.Diffuse osseous metastatic disease. Disease extent and activity is better assessed on nuclear medicine bone scan.2.Denervation edema of the right gluteal muscles.