History of cervical cancer. Evaluate tumor burden. History of invasive moderately differentiated squamous cell carcinoma. PELVIS:UTERUS, ADNEXA: The uterus is markedly distorted in its mural contour with numerous T2-weighted very hypointense masses and T2-weighted intermediate signal intensity masses which are submucosal, intramural and subserosal in distribution. The uterus is approximately 20.5 x 8.9 cm in sagittal cross section (series 901/45). Many of these masses demonstrate peripheral heterogeneous enhancement with central non-enhancement, suspicious for extensive tumor involvement. The endometrial cavity is abnormally dilated measuring up to 2 cm with an ill-defined endometrial/inner myometrial junction.There is suspected tumor invasion into the bilateral adnexa. Tumor extends to the right lateral pelvic side wall (series 701/41). Tumor invades the proximal vagina. BLADDER: Foley catheter within a partially collapsed urinary bladder. The fat plane between the cervix and inferior dorsal bladder wall is obliterated with suspected tumor invasion into the base of the bladder (series 1002/49).LYMPH NODES: There is extensive periaortic lymphadenopathy best seen on the coronal series #401, image 21 and 19 as well as common iliac lymphadenopathy (series 401 image 24). The right periaortic lymph node measures approximately 3.7 x 2.4 cm in the coronal plane.BOWEL, MESENTERY: There is a moderate volume of pelvic ascites with nodular peritoneal thickening with enhancement suspicious for carcinomatosis (series 1604/64).Peripheral enhancing nodule at the umbilicus suspicious for tumoral deposit measuring 1.8 x 1.5 cm (series 1604/image 121). Additional tumoral deposits are suspected but are incompletely evaluated in the lower abdomen/upper pelvis. Tumor involves the right ureter with moderate hydroureter. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Extensive tumoral involvement of an enlarged and distorted uterus, proximal vagina and bilateral adnexa. Probable tumoral invasion into the base of the bladder. 2.Extensive pelvic and lower abdominal retroperitoneal lymphadenopathy.3.Right ureteral involvement resulting in hydroureter.4. Pelvic ascites and additional findings as described above.