35-year-old female with cervical bleeding and concern for cervical cancer. Lack of intravenous contrast limits sensitivity for solid organ pathology. Please note that multiple sequences are also limited or not completed, as the patient was unable to tolerate positioning within the scanner.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: 2.5 x 3.4 cm slightly thick-walled, lobulated T2 hyperintense cystic lesion with few peripheral, thin septations in the pancreatic body, most likely due to mucinous cystic neoplasm given the appearance and patient's age. Normal caliber of the main pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild nonspecific edema-like signal seen tracking along the left iliopsoas muscle, which may be due to strain.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Gravid uterus with anterior placenta. Small to moderate amount of subchorionic hemorrhage is present posteriorly (series 1201/44). Limited evaluation of the fetus due to motion.Intermediate T2 hyperintensity cervical mass measuring up to 5.1 x 7 x 5.9 cm (series 1301/36 and series 1501/35), highly suspicious for cervical cancer. Probable mild invasion into the left vaginal cuff (series 1301/31). No definite parametrial invasion or rectal/bladder invasion. Packing material within the vagina noted.BLADDER: Air within the bladder due to Foley catheter being in place.LYMPH NODES: Mild bilateral pelvic lymphadenopathy. For future reference, an enlarged right external iliac lymph node measures 14 x 14 mm (series 1201/45), and an enlarged left common iliac lymph node measures 14 x 11 mm (series 1201/67).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Gravid uterus with subchorionic hemorrhage present. Correlation with pelvic ultrasound is recommended.2.Cervical mass, highly suspicious for cervical cancer.3.Mild pelvic lymphadenopathy, suspicious for metastatic disease.4.Cystic pancreatic body mass, most likely due to mucinous cystic neoplasm given the appearance and patient's age. Short interval follow-up contrast enhanced MRI/MRCP can be obtained for further catheterization.