FDG avid uptake is identified within a lesion in the distal sigmoid colon. No tissue plane with the adjacent bladder is identified. An adjacent necrotic soft tissue nodal mass lesion is identified.
FDG avid pelvic lymph nodes are identified in both pelvic sidewalls and adjacent to the left external iliac vessels.
A focus of FDG avid uptake is seen within the left sacral ala. A focus of FDG avid uptake is noted within the left lobe of the prostate gland, this could be an incidental prostatic malignancy which will need correlation with a PSA level and urology opinion.