MRI Carcinoma of the Cervix
33-year-old female presented 5 years prior with carcinoma of the cervix. T2 weighted sequence in sagittal plane of the uterus cervix and vagina shows a focal region of mild T2 hyperintense signal on the superior aspect of the cervix. Incidental note is made of multiple Nabothian cysts. She subsequently developed widely distributed metastases.
Ashley Davidoff MD TheCommonVein.net 254Lu 136044cL
MRI Carcinoma of the Cervix Large Mass
Extending into the Parametrial Tissues
33-year-old female presented 5 years prior with carcinoma of the cervix. T2 weighted sequence in axial plane through the cervix shows a large, mildly T2 hyperintense mass on the right side of the cervix extending into the parametrial tissues. Incidental note is made of multiple Nabothian cysts. She subsequently developed widely distributed metastases.
Ashley Davidoff MD TheCommonVein.net 254Lu 136045
MRI DWI Carcinoma of the Cervix
Restricted Diffusion
33-year-old female presented 5 years prior with carcinoma of the cervix. Diffusion weighted sequence on MRI shows restricted diffusion.
Ashley Davidoff MD TheCommonVein.net 254Lu 136046
PET CT Carcinoma of the Cervix
Hypermetabolic Mass
33-year-old female presented 5 years prior with carcinoma of the cervix. PET CT shows a highly intense hypermetabolic mass in the cervix consistent with malignancy
Ashley Davidoff MD TheCommonVein.net 254Lu 136047
Carcinoma of the Cervix Metastatic Mediastinal Adenopathy Encasement of the Airways
33-year-old female with known primary carcinoma of the cervix presents with infiltrating and encasing mediastinal adenopathy with subtotal narrowing of the left main stem bronchus and significant stenosis of the right
Ashley Davidoff MD TheCommonVein.net 254Lu 136048b01
33-year-old female with known primary carcinoma of the cervix presents with infiltrating and encasing mediastinal adenopathy with severe stenosis of both the left (LPA) and right main pulmonary (RPA) arteries. In the upper panel the severe narrowing of the LPA is appreciated and in the lower panel the bilateral severe proximal stenosis is appreciated.
Ashley Davidoff MD TheCommonVein.net 254Lu 136048b
Carcinoma
Encasement of the Airways with
Ball Valve Effect on the
Left Upper Bronchus and Air Trapping
33-year-old female with known primary carcinoma of the cervix presents with infiltrating and encasing mediastinal adenopathy with severe stenosis of both the left and right main stem bronchi. The upper panels reveal hyperinflation of the left upper lobe (a,b blue arrrowheads) likely secondary to air trapping. The lower panel reveals the severe stenosis of the left main stem bronchus (c white arrowhead) with subtotal occlusion appreciated in d, (white arrowhead). This severe subtotal occlusion probably accounts for the hyperinflation secondary to ball valve mechanism
Ashley Davidoff MD TheCommonVein.net 254Lu 136050b02L
Carcinoma of the Cervix Metastatic Mediastinal Adenopathy – Encasement of the Pulmonary Veins
33-year-old female with known primary carcinoma of the cervix presents with infiltrating and encasing mediastinal adenopathy with stenosis of the bilateral pulmonary veins. The upper panel (a) reveals encasement of the right superior pulmonary vein (a, maroon arrowheads) and compression of the left atrium (white arrowhead). The lower panel b, reveals stenosis of both the superior and inferior pulmonary veins on the right,(maroon arrowheads) and mass effect on the superior aspect of the left atrium (LA) (white arrowhead).
Ashley Davidoff MD TheCommonVein.net 254Lu 136050b04L