69-year-old male with squamous cell carcinoma found on biopsy of urethra. Need MRI of pelvis. Multiple sequences are limited due to patient motion artifact.ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. No intra or extrahepatic biliary ductal dilatation. Patent vasculature.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonenhancing punctate T2 hyperintensity of the right lower renal pole is too small to characterize. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Ectasia of the infrarenal abdominal aorta measuring 2.6 cm in AP diameter.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Right-sided pelvic lymphadenopathy in the pelvic sidewall, external iliac and inguinal regions (series 24 images 88, 102, 104, 111). The largest pelvic lymph node is in the right external iliac station measuring 1.9 x 3.8 cm (series 27 image 33).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is nonspecific heterogenous T2 signal intensity of the distalmost penile urethra (series 27 image 34). Periurethral or urethral wall hyperintense T2 signal and postcontrast enhancement are also noted of the corpus spongiosum /anterior urethra (series 27 image 45, series 26 image 94).
1. Right-sided lymphadenopathy involving the pelvic sidewall, external iliac and inguinal regions.2. Periurethral or urethral wall enhancement involving anterior urethra, most pronounced at the level of the bulbar urethra. May reflect prior inflammation, neoplastic extension not excluded. Correlation with patient's procedural history and pathology is needed.3. There is ovoid heterogenous T2 intermediate signal intensity of the distalmost penile urethra seen with indistinct margins, nonspecific, again correlation with patient's history required to exclude site of patient's known malignancy.4. No acute abnormality of the abdomen.