History of cervical cancer. PELVIS:UTERUS, ADNEXA: Mildly heterogeneous appearance of the uterus is noted. No significant endometrial cavity dilatation. Unremarkable adnexa.There is abnormal dilatation, heterogeneous intermediate T2-weighted signal and restricted diffusion at the level of the cervix compatible with patient's known cervical cancer measuring up to 5.7 x 3.4 cm which appears to extend slightly cranially towards the internal os but not extending to the myometrium/endometrial canal. On sagittal images the right lateral margin of the cervix is ill-defined (series 601/28), suspicious for parametrial tumor involvement. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Moderate volume of fluid within the pelvis. No peritoneal surface nodularity or restricted diffusion is identified.Colonic wall thickening which may be treatment related. BONES, SOFT TISSUES: Marked anasarca. Muscle fatty atrophy.OTHER: No significant abnormality noted.
Limited nonenhanced study re-demonstrates the cervical mass with suspected parametrial tumoral extension. The mass cannot be reliably compared to prior studies due to modality differences. The extent of signal abnormality is grossly similar to the PET/CT appearance.