67-year-old female with endometrial cancer. Compared to last MRI and measure vaginal cuff mass, left inguinal lymph node, and right common iliac node. Status post immunotherapy 4 cycles. PELVIS:UTERUS, ADNEXA: The known vaginal cuff mass has slightly decreased in size with reference measurements listed below. Extension through the parametrial fat is again noted. The mass is associated with satellite nodules and peritoneal extension, and there are persistent areas of the peritoneal implants compatible with carcinomatosis. Large volume ascites is again partially visualized. Tumor is present along the peritoneal reflection of the bladder. The posterior aspect of the tumor abuts the rectosigmoid colon. Enhancing tumor is again identified along the anterior surgical scar.BLADDER: As above.LYMPH NODES: Decreased size of the right common iliac lymph node. Stable size of the left inguinal lymph node. Reference measurements listed below.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: Mild anasarca.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 11/2/2016 14:15:00)LEFT INGUINAL LYMPH NODE: 0.9 x 0.4 cm (Image 30, Series 401); 0.9 x 0.5 cm on prior (8/10/2016) (Image 23, Series 1301).RIGHT COMMON ILIAC LYMPH NODE: 0.7 x 0.7 cm (Image 55, Series 401); 1.2 x 1.0 cm on prior (8/10/2016) (Image 48, Series 1301).VAGINAL CUFF MASS: 6.4 x 3.8 cm (Image 43, Series 401); 7.9 x 4.6 cm on prior (8/10/2016) (Image 38, Series 1301).
1.The known infiltrative soft tissue mass at the vaginal cuff with extension into the parametrial soft tissue, along the peritoneum, and abutment above the bladder and rectum and sigmoid colon has decreased in size. Reference measurements listed above.2.Decreased size of the right common iliac lymph node and stable size of the subcentimeter left inguinal lymph node. Reference measurements listed above.