Reason: cervical cancer; radiation planning - patient will have radiation device in place. PELVIS:UTERUS, ADNEXA: There is a faintly T2 hyperintense lesion that is anterior and left lateral to the endocervical canal. The lesion measures approximately 1.6 cm in the craniocaudal dimension by 1.1 cm in the AP dimension (series 501, image 25) by 2.0 cm in the transverse dimension, overall slightly decreased from 2 x 1.7 x 2 cm previously. The lesion again demonstrates increased contrast enhancement as well as left parametrial invasion. The bladder wall and bilateral ureters are preserved.BLADDER: Small amount of air within the bladder likely related to recent catheterization.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: Sigmoid diverticulosis without evidence for acute diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis. Partially visualized infrarenal aortic aneurysm with mural plaque measuring up to 3.8 x 3.6 cm.
1.Anterolateral cervical lesion with left-sided parametrial invasion, lesion itself slightly decreased in size from 8/31/2016 (primarily in craniocaudal dimension; appearance similar to earlier study in axial plane).2.Partially imaged abdominal aortic aneurysm. If this has not been previously characterized, dedicated imaging can be considered as clinically warranted.