48-year-old male with metastatic transitional cell cancer, now with abdominal pain. ABDOMEN:LUNG BASES: Small left pleural effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Absent native kidneys.RETROPERITONEUM, LYMPH NODES: Extensive retrocrural, retroperitoneal adenopathy is unchanged. Reference right retroperitoneal adenopathy measures 3.1 x 1.6 cm (image 36 series 5) appears similar to previous accounting for slight differences in technique previously measuring 3.2 x 2.2 cm. Reference retrocaval adenopathy measures 2.2 x 1.2 cm, (image 21 series 5) previously 2.2 x 1.3 cm.Stable abdominal aortic aneurysm.BOWEL, MESENTERY: Small bowel wall thickening possibly indicates enteritis, though more likely secondary to ascites.BONES, SOFT TISSUES: Lytic bone lesion in the left iliac wing, unchanged.OTHER: Anasarca and ascites has progressed compared to the previous examination.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1. Progression of anasarca and ascites.2. No significant change in the extensive retrocrural, retroperitoneal and pelvic adenopathy.3. Other findings stable.