History of rectal carcinoid tumor status post resection. Status post lower anterior resection. End to side coloanal anastomosis. 9/25/2014 pathology showed multifocal rectal wall differentiated neuroendocrine tumor. Family history of colon cancer. ABDOMEN:LIVER, BILIARY TRACT: Stable simple right hepatic lobe segment VIII cyst and segment 6/7 indeterminate focus. No focal suspicious lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Right adnexal physiologic cyst. Small uterine fibroids. Nabothian cysts noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from a lower anterior resection with side to end anastomosis appearing mildly thickened, but unchanged dating back to 4/13/2015. The appearance is unchanged from the prior study. No measurable residual or recurrent disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Stable examination without evidence of residual or recurrent disease. Mild thickening/prominence at the side-to-end coloanal anastomosis without a focal lesion is unchanged dating back to 4/13/2015, correlate with colonoscopy findings.2.Stable indeterminate subcentimeter segment 6/7 lesion.