89-year-old female with history of endometrial tumor. Evaluate for tumor extent. PELVIS:UTERUS, ADNEXA: There is a T2 intermediate, enhancing cervical mass measuring approximately 2.2 x 1.5 (series 901, image 40) x 2.0 cm (series 1001, image 15). The mass appears to extend into the upper vagina as noted on the postcontrast images. No obvious extension into the endometrial canal; the endometrium is noted to be thin measuring 0.2 cm. Fat plane between the uterus and the rectum/sigmoid is preserved.BLADDER: No significant abnormality noted.LYMPH NODES: There are subcentimeter nonspecific bilateral common iliac and external iliac chain lymph nodes with the largest on the right measuring 1.3 x 0.8 cm (series 401, image 41).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially visualized degenerative changes involving lower lumbar spine. Moderate to severe degenerative changes at bilateral hip joints.OTHER: No significant abnormality noted.
1.Although given history of endometrial cancer, MR findings are of an enhancing endocervical canal mass with minimal probable extension into the upper vagina and questionably into the lower uterine segment endometrium. MR findings favor a cervical neoplasm.2.Nonspecific subcentimeter bilateral common iliac and external iliac lymph nodes.