50 year-old female. Recurrent low-grade endometrial stromal sarcoma of the uterus status post resection of vaginal cuff recurrence on 2/5/2015, to assess disease response and for radiation therapy planning. EPIC history: patient had history of angiogram 2/2015 complicated by RLE DVT. PELVIS:UTERUS, ADNEXA: Postsurgical findings of hysterectomy. There has been interval resection of the two masses seen in the vaginal cuff without evidence of local recurrence.BLADDER: No significant abnormality noted.LYMPH NODES: Borderline enlarged right pelvic lymph nodes, including a 1 x 0.6 cm node, not significantly changed (series 1001, image 40).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Interval decrease in soft tissue stranding in the right groin since prior CT. In this region, there is a 2.3 x 1.5 cm T1 hyperintense lesion with surrounding soft tissue thickening and enhancement, which extrinsically compresses and severely attenuates a patent right common femoral vein (series 1401, image 661). This is favored to be a hematoma with adjacent inflammatory change.OTHER: No significant abnormality noted.
1.Interval resection of two vaginal cuff lesions without evidence of local recurrence.2.Decreased right groin soft tissue stranding. Residual T1 hyperintense lesion in this region with adjacent soft tissue thickening and enhancement, favored to be a hematoma with surrounding inflammatory change. Of note, the right common femoral vein is markedly attenuated by this hematoma.3.Borderline enlarged right pelvic lymph nodes, unchanged.