Cervical Carcinoma

Cervical-Carcinoma-A-Axi-T1WI.jpg

A

Cervical-Carcinoma-B-Axi-T2WI.jpg

B

Cervical-Carcinoma-C-Sag-T2WI.jpg

C

Cervical-Carcinoma-D-Sag-TIWI+C.jpg

D

Clinical History:
This 48-year-old woman presented with new-onset vaginal bleeding between menses for more than two months duration. Following ultrasound and the MRI herein illustrated, the patient underwent surgical treatment of her condition.

Diagnosis:
Cervical carcinoma

MR Technique: 
Scans were acquired at 1.5 T utilizing an 8-channel body coil. (A) Axial pre-contrast spin echo T1-weighted (TR/TE 460/7 ms, 320×192 matrix) along with (B) axial and (C) sagittal fast spin echo T2-weighted (TR/TE 3760/131 ms) images were acquired, in addition to (D) sagittal post-contrast spin echo T1-weighted images. All scans were acquired utilizing a slice thickness of 6 mm.

Imaging Findings:
The uterocervical junction is markedly deformed by a large soft tissue mass resting posterior to the urinary bladder. This mass demonstrates moderately high signal intensity on T2 and low signal intensity on pre-contrast T1WI. On post-contrast images, the lesion enhances avidly. In addition, portions of the posterior wall of the uterus enhance, indicating secondary uterine involvement.