41-year-old female with history of recurrent colon cancer. Nodularity of the vaginal cuff on pelvic exam. PELVIS:UTERUS, ADNEXA: Status post hysterectomy bilateral salpingo-oophorectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a triangular-shaped soft tissue focus near the right/superior aspect of the vaginal cuff which demonstrates mild enhancement measuring 10 x 7 mm (image 53 of series 100), mild adjacent tethering noted. Mild stranding of fat near left aspect of vaginal cuff also seen, however no visible nodular enhancement.Small volume ascites.
Small, mildly enhancing soft tissue focus near right aspect of vaginal cuff is nonspecific and may be secondary to postoperative sequale/scarring, but recurrent disease cannot be excluded. Consider PET/CT for further evaluation as clinically warranted.