Female 46 years old with a diagnosis of cervical cancer. Evaluate lymph node involvement. History: post coital bleeding, + colonoscopy. PELVIS:UTERUS, ADNEXA: A large, heterogenously enhancing mass within the cervix measures 3.1 x 1.6 cm (series 501, image 36). The mass extends into the internal os as well as the anterior fornix. The posterior fornix is involved to a lesser degree. Parametrial extension is seen anterolaterally on the left (series 501, image 35) and possibly on the right.There is a well defined, bulging myometrial mass on the right which is not contiguous with the cervical mass. It is isointense to muscle on T1 and intermediate intensity in T2-weighted images. BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No hydroureter.
1.3.1 x 1.6 cm cervical mass with parametrial invasion on the left and possibly on the right.2.Given that the right myometrial lesion is not contiguous with the cervical mass it more likely represents a degenerating fibroid however, myometrial invasion cannot be entirely excluded.