history of aplastic anemia status post MUD BMT in 2004 and localized alveolar rhabdomyosarcoma of right inguinal and pelvic region who completed therapy in december 2013. PELVIS:UTERUS, ADNEXA: Stable mild T2 hyperintensity and enhancement of the labia.BLADDER: No significant abnormality noted.LYMPH NODES: Reference right inguinal lymph node measures 12 mm x 7 mm (series 501, image 14) unchanged. BOWEL, MESENTERY: The imaged bowel appears normal.BONES, SOFT TISSUES: There is new increased STIR/T2 bone marrow signal within the right femoral head and neck. Stable size and enhancement at the resection bed in the pelvis, including the right obturator internus muscle.Persistent swelling and T2 hyperintense reticulation of the anterior soft tissues of the right thigh unchanged. Enhancing focus in the posterior acetabulum unchanged.OTHER: Diminished caliber of the right iliac and right femoral vein persists. Small amount of free pelvic fluid, likely physiologic in a patient of this age.
1. New bone marrow edema within the right femoral head and neck of uncertain significance and attention to this area on followup exam recommended.2. Post surgical changes in the pelvis with no evidence of disease recurrence.