Female 76 years old with vaginal bleeding and discharge new diagnosis of cervical cancer, evaluation of extent of disease. PELVIS:UTERUS, ADNEXA: Enlarged, lobular uterine contour containing multiple T2 hypointense intramural lesions compatible with fibroids the largest of which measures 3.2 x 3.1 x 3.8 cm. There is distortion of the endometrial cavity likely due to mass effect from the fibroids. No evidence of adenomyosis. The adnexa appear unremarkable.A T2 hypointense, enhancing mass compatible with the patient's known cervical cancer is centered primarily along the left cervix and measures up to 2.7 cm in craniocaudal dimension (series 3, image 22) and 2.6 x 3.9 cm transverse by AP (series 5, image 23). The mass touches the posterior aspect of the urinary bladder. The intervening fat between the cervix and the rectum is obliterated, serosal invasion of the rectum is not excluded (series 5, image 25). Hazy T2 hypointensity in the fat adjacent to the cervix on the left indicates parametrial invasion (series 5, image 24).BLADDER: The cervical mass touches the posterior aspect of the urinary bladder.LYMPH NODES: No pelvic lymphadenopathy.BOWEL, MESENTERY: The intervening fat between the cervix and the rectum is obliterated and serosal invasion of the rectum is not excluded. Colonic diverticulosis.BONES, SOFT TISSUES: Degenerative changes affect the pubic symphysis.OTHER: There is a small amount of pelvic free fluid. No hydroureter.
1.Left cervical mass described above is compatible with the patient's history of cervical cancer. There is evidence of parametrial invasion on the left.2.Cervical mass touches the urinary bladder. Intervening fat between the cervix and rectum is obliterated and serosal invasion of the rectum is not excluded.3.No pelvic lymphadenopathy.4.Fibroid uterus.