Reason: stage II B cervical CA, urinary retention History: stage II B cervical CA, urinary retention. PELVIS:UTERUS, ADNEXA: Large heterogeneous pelvic mass centered at the cervix with lobulated margins measures 12.3 x 10.4 x 15.9 cm (series 6 image 36; series 4 image 38) compatible with patient's history of cervical cancer. There is extension into the the uterus superiorly and into at least the upper vagina inferiorly. Large amount of fluid with fluid-fluid level within the endometrial canal suggestive of obstruction by the mass. The mass abuts the bladder, bilateral pelvic side walls, and rectum with loss of fat planes. There is invasion into the bladder with enhancing polypoid soft tissue within the bladder. There is probable invasion into the rectum (series 6 image 49).Additional small T2 hypointense masses compatible with fibroids.BLADDER: Foley catheter in place. Mass abuts the bladder with loss of fat plane. Enhancing polypoid soft tissue within the bladder compatible with invasion.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Fat-containing umbilical hernia. Probable invasion of the rectum (series 6 image 49) by cervical mass. Peritoneal nodules compatible with peritoneal carcinomatosis. Reference right lower quadrant nodule measures 1.2 x 1.4 cm (series 1001 image 66). BONES, SOFT TISSUES: Enhancing inflammatory focus adjacent to the greater trochanter with extension to the overlying skin surface, nonspecific. OTHER: Complex fluid collection within rim enhancement in the left adnexa, measuring 2.1 x 3.5 x 4.4 cm (series 6 image 24, series 5 image 38) with hypointense foci that correlates with gas seen on CT.
1.Large cervical mass compatible with history of cervical cancer with uterine, upper vaginal, bladder and probable rectal invasion. Peritoneal carcinomatosis. 2.Left adnexal fluid collection with foci of gas may represent an abscess or necrotic tumor. 