Reason: 73yo female with newly diagnosed endometrial cancer. History: Mass posterior to uterus on CT, but not palpated on pelvic exam The exam is limited due to the lack of intravaginal gel instillation.PELVIS:UTERUS, ADNEXA: Retroverted uterus. Asymmetric thickening of the left aspect of the endometrium with associated restricted diffusion and enhancement is likely related to the patient's known diagnosis of endometrial cancer. The tumor extends inferiorly to the level of the cervix (series 401 images 33-34). Focal indistinctness of the myometrial/endometrial junction is suggestive of myometrial invasion (series 401 image 37), and extrauterine extension cannot be excluded (series 1001 image 18). Ovaries are not well visualized, presumably atrophic.BLADDER: The urinary bladder is collapsed.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: Trace free fluid in the dependent pelvis.BONES, SOFT TISSUES: Artifacts related to surgical hardware of the lower lumbar spine.OTHER: No significant abnormality identified.
1.Marked left-sided endometrial thickening and enhancement likely reflecting the patient's known diagnosis of endometrial cancer. There is evidence for myometrial invasion, and extrauterine extension cannot be excluded.2.No definite separate mass posterior to the uterus is identified. Please obtain prior to imaging and report for comparison if available.