Female 72 years old Reason: Radiation planning (HDR brachytherapy). Pt is s/p external beam course History: None PELVIS:UTERUS, ADNEXA: Postsurgical changes from a hysterectomy and bilateral oophorectomy.The previously noted soft tissue mass within the upper vagina is no longer present. There is still some focal mass like enhancement within the area. Separation from the surrounding vaginal cuff is difficult. The asymmetric enhancing soft tissue measures approximately 1.9 x 0.9 cm.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially enhancing soft tissue mass in the left iliac musculature abutting the left ilium measures at least 3.4 x 2.3 cm. Portions of the mass do not demonstrate central enhancement suggesting areas of necrosis.OTHER: No pelvic ascites.
1.Minimal soft tissue thickening in the left vaginal cuff which may represent residual disease.2.Solid soft tissue mass in the left iliac musculature (muscle biopsied and shown to represent metastatic carcinoma).