Reason: Hx of endometrial cancer, restaging scan for RT planning History: None PELVIS:UTERUS, ADNEXA: There is an endometrial lesion compatible with patient's known endometrial cancer which appears to have significantly decreased in size from the prior CT, chronic for differences in technique. For example, the lesion is now nearly completely within the endometrial cavity measuring 1.9 x 2.0 cm (1001/20), previously approximately 4.7 x 5.4 cm. This lesion lesion invades into the cervical canal to the level of the external os measuring 5.3 cm in craniocaudal dimension (601/32). There is currently no definite muscular invasion. No parametrial, bladder wall or rectal involvement.There are otherwise multiple uterine fibroids.BLADDER: No significant abnormality noted.LYMPH NODES: Small reference right common iliac node measures 0.9 x 0.5 cm (1 303/568), previously 1.3 x 1.1 cm. Left periaortic node is not within the field-of-view.BOWEL, MESENTERY: Bowel wall thickening and hyperenhancement of the rectosigmoid.BONES, SOFT TISSUES: Degenerative changes with subchondral cysts in the left femoral head. OTHER: No significant abnormality noted.
1.Endometrial mass has significantly decreased in size with measurements as above. There is extension into the cervical canal, however no definite muscular or parametrial invasion is present.2.Improved pelvic lymphadenopathy.3.Bowel wall thickening involving the rectosigmoid is likely due to radiation.