History of cervical cancer. PELVIS:UTERUS, ADNEXA: The uterus measures approximately 2.0 x 4.2 cm in the sagittal plane x 4.1 cm in the axial plane. Centered in the posterior uterine cervix, there is a focus of abnormal signal intensity (series 901, image 21) measuring approximately 1.2 x 1.4 cm compatible with patient's known cervical malignancy. The lesion extends posteriorly beyond the cervix. The lesion has an ill-defined margin with the rectum, invasion is not excluded. The margin between the uterus and bladder appears intact.The right ovary measures approximately 1.4 x 2.3 cm and contains several subcentimeter cysts measuring up to 7 mm. The left ovary measures approximately 1.2 x 2.1 cm.BLADDER: No significant abnormality noted.LYMPH NODES: No abnormally enlarged intrapelvic nodes are identified. There are several mildly prominent nonspecific inguinal lymph nodes bilaterally.BOWEL, MESENTERY: Diverticulosis.BONES, SOFT TISSUES: Right hip total arthroplasty device susceptibility artifact from which obscures adjacent structures. Degenerative changes affect the left hip joint. There is an approximately 1.3 x 1.7 cm nodule within the right gluteal soft tissues immediately adjacent to the gluteal cleft (series 1202, image 2) which is incompletely imaged. There appears to be mild peripheral enhancement.OTHER: No significant abnormality noted.
1.Cervical mass extending posteriorly beyond cervical margin with possible invasion of the rectum. No intrapelvic lymphadenopathy by size criteria.2.Incompletely imaged right gluteal soft tissue nodule measuring approximately 1.7 cm, recommend correlation with physical examination.3.Mildly prominent nonspecific inguinal lymph nodes.