Female; 73 years old. Reason: new abd pain History: known ovarian cancer ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left pelvicaliectasis, unchanged. RETROPERITONEUM, LYMPH NODES: Reference right retrocrural lymphadenopathy has mildly increased and measures up to 2.9 x 2.2 cm (series 8/14), previously 2.5 x 1.8 cm. Multiple additional retroperitoneal lymph nodes have overall mildly increased in size. No new sites of disease.BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: Fatty marrow infiltration in the lumbar spine, likely due to post-radiation effect.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy and bilateral oophorectomy.BLADDER: No significant abnormality noted.LYMPH NODES: Reference left common iliac node versus soft tissue measures 1.2 x 1.0 cm, unchanged (series 13/34).BOWEL, MESENTERY: Colonic diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: Right total hip prosthesis.OTHER: Trace pelvic free fluid, which may be reactive to the increased retroperitoneal lymphadenopathy.
Increased retrocrural and retroperitoneal lymphadenopathy. No new sites of disease.