FIGO IIB cervical cancer status post chemoradiation, MRI for brachial planning PELVIS:UTERUS, ADNEXA: Persistent tethering and linear soft tissue signal seen at level of posterior cervix reflecting parametrial involvement (see images 35 through 37 series 501), evaluation suboptimal due susceptibility artifact related to interval placement of tandem and ovoids. Persistent mild focal T2 hyperintensity seen involving posterior cervix (similar to earlier exam) and small nabothian cyst formation seen. Site is located within 1 cm of superior aspects of ovoids and located posterior to and approximately 2 to 2.5 cm from end of tandem. Accounting for these differences and differences in technique overall appearance without significant change, no corresponding postcontrast enhancement identified. Instilled vaginal gel and vaginal tube noted.BLADDER: Foley catheter in underdistended bladder, small gaseous foci also seen.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Rectal tube in place. Increased perirectal fat.BONES, SOFT TISSUES: No significant abnormality noted.
Interval placement of tandem and ovoids related for radiation therapy. Associated susceptibility artifact makes evaluation suboptimal but accounting for differences in technique no significant change in posterior cervical lesion. Persistent tethering and linear soft tissue signal seen at level of posterior cervix related to parametrial involvement and/or scarring. Please refer to discussion above.