Female 55 years old restaging cervical cancer prior to brachytherapy. PELVIS:UTERUS, ADNEXA: There is a large heterogeneous cervical mass best seen on T2 weighted images, it measures 2.9 x 2.7 x 3.6 cm (series 601, image 46 and series 401, image 35). It demonstrates heterogeneous enhancement, evidence of parametrial extension particularly on the left, and extension into the lower aspect of the uterus. The endometrial canal is fluid-filled, likely due to to obstruction from the mass.The adnexa are unremarkable.BLADDER: No significant abnormality noted.LYMPH NODES: A right external iliac lymph node measures 1.4 x 0.8 cm (series 804, image 549) and is indeterminate but suspicious for metastasis.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No hydroureter.
1.Large cervical mass with parametrial extension.2.Right external iliac lymph node is indeterminate but suspicious for metastasis.