Vaginal bleeding. Evaluation prior to brachytherapy. PELVIS:UTERUS, ADNEXA: Anteverted uterus.Nabothian cysts are noted.There is heterogeneity and abnormal enhancement of the endometrium with associated restricted diffusion extending into the outer myometrium most extensively at the right cornu (series 1105/300) where it appears to extend to the serosal surface. Additionally, there is subtle spiculated stranding/enhancement along this right anterolateral aspect of the fundus suspicious for extra-mural extension. Best measured on the DWI the lesion measures up to 4.3 x 5.1 cm (series 1105/300). There is no evidence of involvement of the cervical stroma. No evidence of invasion into adjacent soft tissue structures.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Abnormal enhancement and restricted diffusion of the endometrium compatible with patient's histologically proven endometrial adenocarcinoma with tumor extension to the serosal surface and possible focal extramural extension as described. No cervical stromal involvement or pelvic lymphadenopathy is apparent.