82-year-old female patient with cervical mass and cervical bleeding. Preoperative evaluation. PELVIS:UTERUS, ADNEXA: There is a heterogeneously enhancing, intermediate T2 signal mass within the lower cervix measuring approximately 3.5 x 3.3 x 2.8 cm (image 32, series 5 and image 50, series 12). This lesion appears to involve the upper one third of the vagina. The mass abuts the posterior wall of the bladder and anterior wall of the rectum, however, there is no specific evidence of invasion. There is no apparent invasion of the pelvic sidewall. Based on post-contrasting imaging and T2 weighted sequences, there is definite parametrial invasion.A tubular foreign body within the vagina, likely a component of the gel applicator (per technologist removed prior to patient leaving hospital).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Cervical mass compatible with tumor involving the upper third of the vagina without definite parametrial invasion. 2. No pelvic lymphadenopathy.