79-year-old female with endometrial cancer and continued uterine bleeding. Evaluate status of disease. PELVIS:UTERUS, ADNEXA: Increased distention of the endometrial canal, which now demonstrates a blood-fluid level. The endometrial canal measures up to 9.4 x 6.8 cm (axial series 8 image 17), prior 1.9 x 2 cm. The known lobulated endometrial mass has increased in size and measures 7.1 cm in length (sagittal series 6 image 34), prior 5.3 cm. The lesion extends into the endocervical canal and into the upper vagina. The lesion is in close contact with the sigmoid colon (axial series 8 image 21), however no definite evidence for serosal invasion.Multiple uterine fibroids are again noted.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval enlargement of known endometrial mass.