68-year-old woman with history of cervical squamous cell carcinoma. PELVIS:UTERUS, ADNEXA: There are large uterine fundal fibroids which displaced the uterus towards the right. There is a predominantly T1 hyperintense and T2 heterogeneous signal mass centered in the cervix (series 11, image 29) which measures 79 x 73 mm. There is peripheral enhancement on the post contrast images, however the central portions are relatively hypoenhancing suggesting necrosis.The tumor does appear to invade the posterior wall of the bladder (series 7, image 19). Additionally, the lesion sits along the right pelvic sidewall and there is apparent invasion of an internal iliac vein (series 11, image 27).This tumor is seen abutting the rectum (series 11, image 24), however there is no evidence of invasion. No osseous involvement identified.BLADDER: See above for probable posterior bladder wall involvement. The bladder is otherwise normal.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The aforementioned tumor abuts the rectosigmoid colon, however there is no evidence of invasion.BONES, SOFT TISSUES: There is mass effect on the vagina, otherwise the vagina is unremarkable.OTHER: No significant abnormality noted.
Large, necrotic cervical mass with apparent invasion of the posterior bladder wall, right pelvic sidewall, and an internal iliac vein.