History of vaginal cancer undergoing evaluation prior to brachytherapy administration. PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: A Foley catheter is in place. There is air within the bladder presumably related to placement.LYMPH NODES: No pelvic lymphadenopathy. Scattered normally sized inguinal lymph nodes appearing similar to prior.BOWEL, MESENTERY: There is persistent tethering of the sigmoid colon and small bowel to the vaginal cuff.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is an intracavitary device within the vagina. Associated susceptibility artifact limits evaluation of the patient's known vaginal cuff mass. Overall the mass appears slightly smaller when compared to prior with less extension into the adjacent bladder and sigmoid colon. There has been interval increase in ill-defined surrounding the vaginal cuff and extending into the adjacent tissues, parametrium, and the posterior aspect of the bladder. However this enhancement is poorly defined as opposed to masslike and particularly in light of the short interval change this is presumed to reflect inflammatory changes related to treatment as opposed to tumor growth.
1.Intracavitary device in the vagina. Associated susceptibility artifact limits evaluation of the patient's known vaginal cuff mass. Compared to prior, the mass appears slightly smaller with less extension into the adjacent sigmoid colon and bladder. Interval increase in ill-defined enhancement surrounding the mass and extending into the adjacent soft tissues is felt to most likely reflect treatment-related inflammatory change rather than neoplastic spread.