Cervical Cancer

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Clinical History: 
This is a 58 year old female with known history cervical cancer.

Diagnosis:
Stage IV adenocarcinoma of the cervix.

MR Technique: 
1.5 T scanner (Siemens Espree) using a body matrix coil anteriorly and a spinal coil posteriorly. Image 1: sagittal T2-weighted image (TR/TE 4000/80 ms, scan time 3 min 49 sec, slice thickness 5 mm); Image 2: T1 sagittal VIBE (TR/TE 5.1/2/4 ms, scan time 24 sec, slice thickness 3 mm) after injection of 0.1 mmol/kg of gadolinium chelate; Image 3: T1 axial VIBE (TR/TE 5.1/2.4 ms, scan time 16 sec, thickness 3 mm) after injection of 0.1 mmol/kg of gadolinium chelate.

Imaging Findings:
A mass with its epicenter in the cervical canal measures approximately 3.3 x 3.8 x 3.8 cm (TV x AP x CC). The mass extends into the upper third of the vagina and lower uterine segment. It results in obstruction, with a fluid-filled dilated endometrial canal. No parametrial or side wall extension is appreciated. The bladder and rectum appear normal.

Enlarged lymph nodes are present in the pelvis bilaterally. Right external iliac adenopathy measures up to 3.0 x 2.0 cm. The ovaries are normal.