59 years, Female, Reason: Evidence of cancer recurrence History: Bleeding from vaginal cuff. Uterine mucinous adenocarcinoma s/p TAH-BSO, multiple recent vaginal bleeds. Status post IR embolization PELVIS: FemaleUTERUS, ADNEXA: Status post hysterectomy. There is enhancing tissue at the vaginal cuff, most prominent along the left aspect measuring 1.9 x 1.9 cm (1209/355). Enhancing soft tissue also extends along the right aspect of the cuff measures 3.0 x 1.7 cm (1301/78). While there is no definite rectal invasion, there is an indistinct fat plane between the enhancing tissue and rectum on a single slice (1205/380). Enhancing soft tissue also abuts the bladder with loss of the fat plane (1202/357).BLADDER: Foley catheter.LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: See above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free pelvic fluid.
Enhancing tissue at the vaginal cuff is suspicious for tumor recurrence. The tumor abuts the rectum and bladder and while there is no definite invasion, there is suggestion of loss of the fat planes and early underlying invasion cannot be entirely excluded, further described above.