41 year old female patient with newly diagnosed cervical cancer pre-op vs chemotherapy. Vaginal discharge. PELVIS:UTERUS, ADNEXA: There is a mass at the cervical os extending externally, more towards the right than left. The mass extends into the endometrial canal, the superior extent of which is not clearly delineated. The lesion however does not demonstrate significant enhancement. There is no parametrial extension. In the left adnexa, there is a complex mass with an enhancing soft tissue component and multiple mural enhancing nodules. A tubular component of this mass in part likely represents a dilated fallopian tube. The right ovary is also enlarged with an enhancing soft tissue component, though smaller than the left side. These adnexal findings are suspicious for primary tumor or metastatic disease.BLADDER: No significant abnormality noted.LYMPH NODES: No significant pelvic lymphadenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: A T2 hyperintense, enhancing lesion within the L5 vertebral body appears to demonstrate intralesional fat and likely represents a hemangioma.OTHER: There is moderate ascites. The peritoneum appears thickened without discrete mass.
1.Cervical mass compatible with provided history of malignancy.2.Bilateral complex adnexal masses, left greater than right, are suspicious for primary malignancy or metastatic disease. 