uterine tumor - #10489

Please reply as soon as possible. Is there any way to treat this condition? Impression Increased size of heterogeneously enhancing pelvic mass. Presumed metastatic sacral and retroperitoneal lymph nodes to the level of the renal veins, new from comparison exams. No evidence for distant metastatic disease. Swirling of the mesenteric vasculature in the upper abdomen can be associated with an internal hernia. No bowel obstruction or evidence of compromised perfusion. Thank you for letting us participate in the care of this patient. If you are a health care provider and have any questions regarding this report, please contact the number below. For patients who have questions please contact the health care professional that requested your imaging first. Electronically signed by: JOSEPH STEIN, DO, DH Radiology Manchester (603-695-2850), at 2/17/2026 1:42 PM Narrative EXAMINATION: CT CHEST ABDOMEN PELVIS W CONTRAST (STANDARD) CLINICAL HISTORY: follow up metastatic cervical ca on chemotherapy TECHNIQUE: Helical CT of the chest, abdomen, and pelvis following the intravenous administration of contrast. . Oral contrast was administered. COMPARISON: CT abdomen pelvis 12/10/2025 and PET/CT 10/8/2025 FINDINGS: Lower neck: Unremarkable. Chest: Lungs and large airways: Similar bronchiectasis, bronchial wall thickening and mucoid impaction in the left lung apex. No suspicious pulmonary nodules.m Pleura: No pleural effusion. Biapical pleural-parenchymal scarring. Heart/vasculature: Normal. Lymph nodes: No enlarged lymph nodes. Mediastinum and hila: Normal. Chest wall: Right chest wall catheter with tip terminating at the cavoatrial junction. Abdomen/pelvis: Liver: Normal size and attenuation without lesions. Bile ducts: Nondilated. Gallbladder: No calcified gallstones. Normal caliber wall. Pancreas: Normal attenuation without ductal dilatation. Spleen: Normal. Adrenals: Normal. Kidneys: Diminished enhancement and atrophy of the left kidney. Right kidney is unremarkable. No collecting system dilation. Urinary Bladder: Normal. Vasculature: Nonaneurysmal aorta. Patent portal vein. Lymph Nodes: Enlarged retroperitoneal lymph nodes up to 10 mm short axis (aortocaval node series 14 image 45 and right para-aortic node series 14 image 52). 10 mm short axis lymph node in the left mesorectal fat (series 14 image 108). Bowel: Nondilated, no wall thickening. Large stool burden in the cecum/proximal ascending colon. Fecalization of intestinal contents in the distal ileum. Findings could be associated with delayed transit. Peritoneum and retroperitoneum: Swirling of the mesenteric vasculature in the upper abdomen. Trace volume free fluid in the pelvis. No loculated fluid collection. No pneumoperitoneum. No mesenteric inflammation. Abdominal wall: Normal. Reproductive organs: 7.7 x 6.8 x 6.5 cm heterogeneously enhancing pelvic mass, previously two separate masses measuring 4.2 and 3.7 cm. Mass abuts the posterior superior bladder wall and sigmoid colon. Osseous structures: No suspicious lesions.