History of dysuria and vaginal pain. Evaluate extent of disease. History of ovarian cancer status post hysterectomy and renal therapy. PELVIS:UTERUS, ADNEXA: Status post hysterectomy. In the right aspect of the vaginal cuff there is a 2.9 x 2.3 x 2.9 cm soft tissue mass (series 401/25) demonstrating heterogeneous postcontrast enhancement compatible with local tumor recurrence. The mass invades the anterior wall of the rectum. The lesion encases the bilateral ureters which contain nephroureteral stents. Additionally the tumor invades the dorsal wall of the urinary bladder. The margins demonstrate soft tissue spiculation.BLADDER: See discussion aboveLYMPH NODES: Small left inguinal lymph nodes.BOWEL, MESENTERY: See discussion above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
2.9 cm vaginal cuff tumor recurrence invading the anterior wall of the rectum, dorsal wall of the urinary bladder and encasing the ureters.