Reason: 59yo female with simple endometrial hyperplasia, and severe cervical d ysplasia (CIN3), techinically difficult pelvic exam due to morbid obesity, r/o gross cervical lesion History: CIN3 on cervical biopsy PELVIS:UTERUS, ADNEXA:There is a soft tissue lesion which is isointense on T2-weighted images along the right aspect of the cervix which measures 1.1 x 1.5 x 1.5 cm (901/35, 601/39). This lesion is relatively hypoenhancing. There is no invasion into the upper vagina or the image field tissues. Low T1/T2 signal without enhancement within the cervical canal itself and upper vagina likely represents either air or old blood products.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent right external iliac node measures 1.6 x 0.9 cm.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Small soft tissue lesion along the right aspect of the cervix may represent cervical cancer. Targeted biopsy of this region may be considered. No parametrial or vaginal involvement.