Female 44 years old Reason: Cervical cancer History: Cervical cancer PELVIS:UTERUS, ADNEXA: There is a peripherally enhancing, centrally necrotic mass arising from the cervix and extending to involve the left lower uterine segment. This measures approximately 4.0 x 5.4 x 3.8 cm. The mass extends posteriorly to invade the rectum. There is invasion of the bilateral vesicoureteric junction and the distal portions of the bilateral ureteric stent are noted within the bladder. The mass extends superiorly to invade the adjacent bowel, including small bowel and there is tethering of adjacent small bowel loops and mild small bowel dilatation. The mass extends into the left adnexal region however, there is no definite evidence of pelvic sidewall invasion. BLADDER: No significant abnormality noted.LYMPH NODES: There is no significant pelvic lymphadenopathy.BOWEL, MESENTERY: Please see above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Pelvic mass consistent with provided history of cervical cancer with rectal and bladder invasion as described above. Additionally, there is invasion of adjacent bowel loops with small bowel dilatation and the possibility of partial small bowel obstruction is not excluded.