48-year-old female with bleeding and discharge. History of cervical cancer with persistent disease on cervix despite chemoradiation therapy. Evaluate for parametrium and bladder/rectal proximity of tumor for surgical planning. PELVIS:UTERUS, ADNEXA: Enhancing soft tissue mass of the cervix measuring 6.1 x 3.5 cm (series 8 image 327). This lesion again extends into the mesorectal fascia posteriorly and parametrium bilaterally. Prior measurement was 4.6 x 2.3 cm. Upper vaginal thickening is again seen.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace free fluid in the dependent pelvis.
Increased size of the known cervical soft tissue mass with extension into the mesorectal fascia and parametrium bilaterally.