History of cervical cancer. Evaluate for tumor progression. Patient is status post hysterectomy and left salpingo-oophorectomy and right salpingectomy. ABDOMEN: Please note that evaluation of the upper abdomen is somewhat limited due to lack of postcontrast T1-weighted imaging.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy and left salpingo-oophorectomy. There is abnormal T2 weighted signal intensity, thickening and mild enhancement of the vaginal cuff and anterior vaginal wall measuring up to 1.5 cm in thickness involving more than 180 degrees of the vaginal cuff circumference and 3.6 cm in craniocaudal dimension. There are small soft soft tissue spicules extending into the paravaginal cuff fat (series 901/23) and extending towards the right adnexa without definite involvement of the poorly defined right ovary.The fat plane between the bladder and vaginal canal is maintained. The bladder is only partially distended.BLADDER: Partially distended urinary bladder without a focal abnormality.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Residual and/or recurrent tumor as described above involving the vaginal cuff with soft tissue extending into the right-sided paravaginal cuff fat towards the right adnexa.Please note that evaluation of the upper abdomen is somewhat limited due to lack of postcontrast T1-weighted imaging. There are no suspicious findings in the upper abdomen given this limitation.