Cervical cancer. RT planning. PELVIS:UTERUS, ADNEXA: Eccentric soft tissue wall thickening of the cervix anteriorly and on the right, measuring up to 15 mm (series 601, image 36) consistent with known cervical carcinoma, markedly decreased in size from prior. There is right parametrial invasion. Tumor bulges the endometrial cavity inwards on the right but with no discrete endometrial tumor (series 601, image 36).Extension of abnormal signal from the cervix into the anterior upper third of the vaginal cuff with mild wall thickening greater on the right, suspicious for local invasion (series 601, image 31). No bladder, ureteral, or rectal invasion.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent pelvic lymph nodes at the left common iliac artery and at its bifurcation. For reference a left common iliac node is 13 x 9 mm (series 1104, image 755), similar to prior. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Significantly decreased size of cervical carcinoma with right parametrial invasion. Suspicious findings for direct location invasion into the upper third of the anterior vaginal cuff.2. Prominent pelvic lymph nodes suspicious for local metastatic disease.