Female 68 years old Reason: 68yo female with history of uterine cancer with vaginal cuff nodularity on exam and CT. Please evaluate for recurrence. History: Vaginal cuff nodularity UTERUS, ADNEXA: Status post cystectomy. Vagina is distended with complex fluid. There is significant wall thickening involving the vaginal cuff with surrounding inflammation. There is likely a fistulous tract between the vaginal cough anteriorly to the sigmoid colon, best seen on image number 625, series number 1601. The wall of the rectosigmoid is diffuse thickened. BLADDER: Status post cystectomy.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Right lower quadrant ostomy.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Significant wall thickening of the vaginal cuff and inflammatory changes. No definite mass is identified. There is likely a fistula to the sigmoid colon from the vaginal cuff anterolaterally. Clinical correlation is recommended.