54-year-old female with cervical cancer status post chemoradiation PELVIS:UTERUS, ADNEXA: A T1/T2 heterogeneous mass surface extending to the upper vagina has decreased in size. On the sagittal images, it measures 3.5 x 2.0 cm (701/38), previously 3.6 x 2.1 cm. However, on short axis oblique images it measures 2.8 x 2.1 cm (901/16) previously 4.5 x 3.0 cm. A brachytherapy applicator is present within the uterus causing some susceptibility artifact. There is ill-defined right-sided parametrial invasion both at the superior (901/24) and inferior (901/10) aspect of the uterus. A soft tissue nodule is also present within the parametrial tissues measuring 1.3 x 0.9 cm which was likely present on the prior exam. Tumor surrounds the right ureter which contains a stent. Bowel abuts tumor near the fundus of the uterus. BLADDER: Foley catheter is present.LYMPH NODES: There are multiple enlarged lymph nodes which are overall unchanged in size. An enlarged left common iliac node measures 1.7 x 1.5 cm (601/53), unchanged. A small left external iliac node measures 1.1 x 1.0 cm (601/47), previously 1 x 0.9cm A right adnexal lesion is unchanged in size measuring 3.3 x 2.9 cm (901/24), likely representing tumor. A pelvic sidewall node on the right measures 2.3 x 2.2 cm (901/14), unchanged.BOWEL, MESENTERY: A rectal tube is present.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cervical mass with right-sided parametrial lesion is decreased in size.2.Pelvic lymphadenopathy is stable.