65-year-old female with history of endometrial carcinoma who presents for evaluation of disease progression.Per additional history obtained by Dr. Mathews from the clinical service: Patient with history of hysterectomy, bilateral oophorectomy, and nodal dissection. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: There is a persistent circumferential rim enhancement of residual vaginal cuff which measures 3.6 x 1.3 cm (series 16, image 29), previously measuring 4.6 x 2.3 cm; this measurement includes the vaginal cuff thickening.Postoperative changes of hysterectomy and bilateral nephrectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a 5.0 x 4.0 cm (series 17, image 30) T2 hyperintense, T1 hypointense, nonenhancing focus in the left pelvic sidewall compatible with a lymphocele.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Evidence of enhancing disease within the vaginal cuff which is improved compared to previous examination.2.Postsurgical changes of hysterectomy and bilateral oophorectomy.3.Persistent left pelvic sidewall probable lymphocele.