88-year-old female with vaginal bleeding. New vaginal cancer diagnosis. PELVIS:UTERUS, ADNEXA: On the right aspect of the vagina there is a 2.8 x 4.4 cm mass (series 601 image 23) that is T1 hypointense, T2 hyperintense and peripherally enhancing lesion. The lateral aspect of the lesion involves the right obturator internus muscle. This lesion extends anterolaterally, and the tip abuts the posterior border of the right inferior pubic ramus (series 1103 image 131). The lesion extends medially and involves the majority of the right side of the urethra (series 601 image 22). The lesion contacts the anterior wall of the rectum without discrete evidence of invasion (series 601 image 25).Status post hysterectomy.BLADDER: Known vaginal lesion involves the majority of the right side of the midportion urethra. No definite evidence of involvement of the bladder wall.LYMPH NODES: Mildly enlarged left external iliac and left inguinal lymph nodes (axial series 601 images 33, 37), which were not FDG avid on the 12/14/2016 PET/CT exam.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.On the right aspect of the vagina, there is a 2.8 x 4.4 cm T2 hyperintense and enhancing lesion extending medially with involvement of a majority of the right side of the urethra. The lesion abuts the rectum without discrete evidence of invasion. Other anatomic descriptions listed above.2.Mildly enlarged left external iliac and left inguinal lymph nodes were not FDG avid 12/14/2016 PET/CT exam.