71 year old female with stage IIIB cervical cancer. Please evaluate disease extent for radiation planning purposes. Presents with vaginal bleeding. PELVIS:UTERUS, ADNEXA: There is irregular asymmetric enlargement of the cervix, area measures approximately 4.2 x 2.9 cm, with associated enhancement and increased signal abnormality, consistent with patient's history of cervical carcinoma. There is apparent extension of this signal abnormality and enhancement superiorly to involve the myometrium/uterine body. There is a fluid filled endocervical canal. Note is made of multiple low signal intensity masses within the fundus and body of the uterus, which enhance on postcontrast sequences, appearing most consistent with intramural and pedunculated/subserosal leiomyomas. There is a simple appearing left adnexal cyst measuring 1.6 cm in diameter. BLADDER: No significant abnormality noted.LYMPH NODES: There is left iliac lymphadenopathy measuring 1.9 x 1.0 cm (33; series 801). Right iliac lymph node, corresponding to the hypermetabolic focus on recent PET/CT examination, measures 0.7 x 0.5 cm (59; series 801).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Note is made of diffuse heterogeneous bone marrow signal abnormality which is nonspecific but may be seen in setting of anemia.
1.Findings consistent with the patient's history of cervical carcinoma with reference measurements provided above.2.Persistent bilateral pelvic lymphadenopathy, suspicious for metastatic disease.