Cervical cancer. Abdominal and back pain. PELVIS:UTERUS, ADNEXA: There is a large cervical mass compatible with the patient's history of cervical cancer. This mass is predominantly circumferential with larger nodular components posteriorly. In total, the mass spans 6.7 cm AP x 5.0 cm LR x 8.5 cm CC. The mass extends superiorly into the uterus and inferiorly into the vagina. Anteriorly, the mass infiltrates the immediate surrounding soft tissues, including the bladder, with fistula to the urinary bladder identified. Posteriorly, the mass abuts the rectum, without definite invasion.BLADDER: Invasion of the posterior bladder by the after mentioned mass, as described above. Bilateral nephroureteral stents partially imaged.LYMPH NODES: Numerous pathologically enlarged bilateral inguinal, pelvic, and partially imaged para-aortic lymph nodes identified. A right pelvic lymph node measures 2.8 x 1.9 cm (series 1701, image 353).BOWEL, MESENTERY: The after mentioned mass abuts the rectum, without definite invasion. No evidence of obstruction.BONES, SOFT TISSUES: No significant abnormality noted.
1. Large cervical mass compatible with patient's known history of cervical cancer, with invasion of the bladder and fistula visualized.2. Extensive pelvic lymphadenopathy.