Reason: pt with biopsy confirmed recurrent endometrial cancer at vaginal cuff, assess for extent of recurrent disease. Please place lubricant vaginally to better delineate vaginal tumor. Requesting wide bore MRI. History: vaginal bleeding PELVIS:UTERUS, ADNEXA: There is a polyploid enhancing mass at the vaginal cuff projecting into the lumen measuring 3.6 x 2.7 cm in transverse dimension and 3.5 cm in craniocaudal dimension (401/30, 501/35). The lesion abuts the adjacent sigmoid colon with likely serosal involvement.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: There is a enhancing presacral lesion measuring 1.3 x 2.2 cm (401/37) with subtle cortical involvement of the anterior sacrum. A large enhancing lesion within the left iliacus muscle measures 3.8 x 2.9 cm.OTHER: No significant abnormality noted.
1.Enhancing mass at the vaginal cuff likely represents recurrent endometrial cancer.2.Enhancing presacral and left iliacus lesions likely metastases.