72-year-old female with history of appearing cancer status post EBRT prior to interstitial brachytherapy for vaginal cuff recurrence PELVIS:UTERUS, ADNEXA: Status post hysterectomy and bilateral salpingo-oophorectomy.There is a right vaginal cuff nodular lesion measuring approximately 3.3 x 2.2 cm (series 801, image 35) with peripheral enhancement. The lesion demonstrates mass effect on the anterior wall of the rectum with effacement of the intervening fat plane. The lesion also abuts the posterior aspect of the bladder and the sigmoid colon. Involvement cannot be entirely excluded. BLADDER: No significant abnormality noted.LYMPH NODES: Prominent left common iliac lymph node measuring 9 mm. Additional smaller left common iliac and left perirectal lymph nodes. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No suspicious osseous lesions.At the level of the labia, right and posterior to the vaginal introitus is a T2 hypointense, partially T1 hyperintense cystic, nodular lesion that may represent a complex Bartholin's cyst.OTHER: No significant abnormality noted.
1.Vaginal cuff tumor as described above. Prominent left common iliac lymph node and additional smaller lymph nodes as above. 