69-year-old female with endometrial cancer. Rule out parametrial involvement. PELVIS:UTERUS, ADNEXA: Extensive irregular endometrial tumor with deep myometrial invasion. Tumor extends through the cervix and is confined within the vagina. No evidence for bulky parametrial invasion. There is bilateral proximal fallopian tube thickening compatible with tumor extension (axial series 1002 images 218, 230).Simple left adnexal cyst measuring 6.2 x 4 cm (series 401 image 33).BLADDER: No significant abnormality noted.LYMPH NODES: Enlarged right common iliac lymph node partially visualized (series 301 image 57).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Extensive endometrial tumor extending to the cervix and into bilateral proximal fallopian tubes. Deep myometrial invasion is noted. No bulky parametrial invasion.2.Partially visualized right common iliac stent noted. Extensive retroperitoneal lymphadenopathy better visualized on the 10/30/2016 CT abdomen and pelvis exam.