Female 52 years old with a history of bladder cancer status post exenteration with Indiana pouch, evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and morphology without focal lesion or biliary ductal dictation. There is loss of signal on out of phase imaging indicating hepatic steatosis. Status post cholecystectomy. The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No suspicious renal lesion. Improvement in hydroureter with resolution of ureteral enhancement.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post Indiana pouch. No evidence of bowel obstruction or inflammation.BONES, SOFT TISSUES: Degenerative changes affect the lumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Stable findings related to anterior pelvic exenteration.BLADDER: Stable findings related to anterior pelvic exenteration.LYMPH NODES: No enlarged pelvic lymph nodes.BOWEL, MESENTERY: Status post Indiana pouch. No evidence of bowel obstruction or inflammation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No evidence of recurrent or metastatic disease.