51-year-old female with stage IIB cervical cancer status post EBRT PELVIS: Sagittal sequences severely limited by motion artifact.UTERUS, ADNEXA: Tandem and ovoid brachytherapy apparatus placed within the vagina, traversing cervix and into uterus. The right ovoid is at the level of the previously identified site of disease. Marked interval improvement of primary cervical lesion, unable to make reliable measurements. Subserosal fibroid in the posterior wall of the uterus is unchanged.There is a focus of enhancement in the right parametrial soft tissues measuring approximately 2 x 1.6 cm, previously 1.8 x 1.3 cm, favored to be stable accounting differences in technique and related to right ovary (not able to delineate whether enhancement is secondary to normal ovarian tissue or persistent lesion; comparison made to earlier 6/20/16 MRI and outside pretreatment MRI exam and previously there was invasion of this ovary by patient's primary cervical mass). Additional right-sided T2 dark rounded lesion unchanged, may be an endometrioma. Possible mild distortion of left ovary on pretreatment imaging seems improved. BLADDER: Foley catheter within a partially collapsed bladder. Air within the bladder is presumed to be secondary to manipulation.LYMPH NODES: Redemonstrated is a peripherally enhancing lesion measuring 17 x 10, not significantly changed since the prior exam. This lesion may represent a paraovarian or adnexal cyst. Additional right-sided T2 dark rounded lesion unchanged (also alluded to above), may be an endometrioma.BOWEL, MESENTERY: Small amount of free fluid in the dependent portion of the pelvis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Marked interval improvement of primary cervical lesion. 2.No significant change in right parametrial soft tissue lesion previously described, favored to be right ovary. Uncertain whether persistent corresponding enhancement seen currently is related to treated ovarian tissue now devoid of tumor or persistent tumor infiltration of the ovary. Discussed with radiation oncologist Dr. Hasan. 3.Unchanged peripherally enhancing lesion adjacent to the right pelvic wall may represent a paraovarian or adnexal cyst (rather than necrotic lymph node reported previously). 