History of cervical cancer and worsening gait and pain. Presumably treated with radiation therapy. PELVIS:UTERUS, ADNEXA: Anteverted anteflexed uterus.The uterus measures approximately 7.3 x 4.1 cm in the sagittal plane. There are numerous very low T2-weighted signal intensity well-defined masses compatible with numerous poorly enhancing fibroids with the largest measuring 4.2 x 3.1 cm in the dorsal body. The fibroids distort the endometrial canal which is normal in thickness. The visualized endometrium/junctional zone is unremarkable.There is a post treatment/radiation changes of the cervix without any solid enhancing or restricting components. There is a mild delayed enhancement of the scar tissue involving the left aspect of the cervix (series 805/270).This abuts the anterior rectal wall without frank invasion.BLADDER: No significant abnormality noted.LYMPH NODES: Partially imaged right pericaval lymph node (series 605/480). No enlarged pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Post treatment/radiation changes of the cervix without a solid enhancing mass with residual scar tissue demonstrating expected delayed enhancement. Right pericaval adenopathy is incompletely visualized. Follow up is recommended as this area may be outside the radiation treatment zone.Leiomyomatous uterus.