Noncontrast CT of the abdomen and pelvis demonstrates a large anterior abdominal wall hernia containing fat and bowel, concerning for dehiscence in a postsurgical patient. There is 2.9 cm of diastasis between the rectus muscles, and the total hernia measures 11.4 x 7.0 x 7.3 cm. Apparent interval radical cystectomy, radical prostatectomy, and ileoureteral conduit creation is noted with soft tissue swelling about the surgical sites. Drain tube present.
Other Findings: There is mildly prominent pericardial fat as well as a prominent area of atelectasis/consolidation in the left lower lobe. A stable diaphragmatic pleural-based nodule is present in the right lower lobe. Mildly nodular appearance of the liver with perihepatic ascites. Degenerative changes of the spine, especially at the L5-S1 level.