Metastatic cervical cancer on systemic therapy, evaluate for persistent disease, history of bilateral hydronephrosis status post ureteral stent placement ABDOMEN:LUNG BASES: Bilateral breast prostheses.LIVER, BILIARY TRACT: Gallbladder sludge.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable asymmetrically atrophic right kidney. Moderate left-sided and mild right sided hydronephroureter, increased from earlier study. Left-sided nephroureteral stent and right sided nephroureteral stent, left-sided stent located at level of ureteropelvic junction. Ureteral wall thickening seen bilaterally.RETROPERITONEUM, LYMPH NODES: No pathologically enlarged adenopathy. BOWEL, MESENTERY: Mild to moderate circumferential rectal wall thickening. PELVIS:UTERUS, ADNEXA: Status post hysterectomy. No enhancing soft tissue signal seen at level of postoperative bed. Stable lobulated right adnexal T2 hyperintense lesion encasing the right ureter. Structure essentially unchanged accounting for differences in technique, structure measures approximately 2.6 x 2.4 cm, image 39 series 1301, may represent a lymphocele related to prior nodal dissection.BLADDER: Bilateral nephroureteral stents seen extending into underdistended bladder. BONES, SOFT TISSUES: Scattered foci of susceptibility artifact in pelvis and ventral abdomen, likely postprocedural in etiology.
1. Mild to moderate rectal wall thickening, may be posttreatment related but correlation with patient's clinical history recommended to exclude proctitis.2. Moderate left-sided and mild right sided hydronephroureter, increased from earlier study. Bilateral ureteral stents present, ureteral wall thickening seen bilaterally.3. Stable lobulated right adnexal T2 hyperintense lesion encasing the right ureter. Structure essentially unchanged accounting for differences in technique, structure measures approximately 2.6 x 2.4 cm, may represent a lymphocele related to prior nodal dissection.