Diagnostic Ultrasound - Abdomen and Pelvis
Cervical Carcinoma (Left) Longitudinal transvaginal ultrasound demonstrates a large cervical carcinoma ſt. Local staging cannot be determined. There is no hematometra st. (Right) Coronal oblique T2 TSE MR through the cervix shows frank parametrial extension on the right where the tumor transgresses the low signal cervical stroma. There were pathologic external iliac nodes . Diagnoses: Female Pelvis (Left) Transverse transabdominal ultrasound of the bladder in a patient with hematuria and vaginal bleeding shows a lobulated mass in the posterior bladder and a mass containing gas st posterior to the bladder. (Right) Longitudinal transvaginal ultrasound of the same patient confirms that the bladder mass ſt is contiguous with a cervical mass st, which was biopsyproven to be squamous cell carcinoma. (Left) Longitudinal transvaginal ultrasound of the uterus in the same patient shows hematometra secondary to the cervical carcinoma st. (Right) Axial NECT the same patient shows the cervical mass st with a cystic component ſt, but it is difficult to determine if there is frank bladder invasion . 733
Cervical Carcinoma Diagnoses: Female Pelvis (Left) Longitudinal transabdominal ultrasound shows an enlarged cervix ſt relative to the uterus st in a patient with profuse vaginal bleeding. (Right) Sagittal transvaginal ultrasound of the same patient shows the cervix ſt to be enlarged and hyperechoic to the myometrium st. The endometrium is thin. (Left) Coronal oblique transvaginal ultrasound of the same patient shows that the mass ſt infiltrates the entire cervix. Small cystic foci are present st. (Right) Coronal T2 FSE MR parallel to the endometrium in a patient with HIV and CIN 3 shows the normal cervical high signal mucosa ſt and intact low signal intensity stroma st. (Left) Coronal oblique TSE perpendicular to the cervix ("doughnut" view) shows a mass with intermediate T2 signal intensity st that extends through the cervical stroma ſt on the right and into the parametrium. (Right) Axial FDG PET/CT of the same patient shows increased metabolic activity in the primary tumor ſt (SUV 15.6) posterior to the bladder st. 734
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Cervical Carcinoma<br />
(Left) Longitudinal<br />
transvaginal ultrasound<br />
demonstrates a large cervical<br />
carcinoma ſt. Local staging<br />
cannot be determined. There is<br />
no hematometra st. (Right)<br />
Coronal oblique T2 TSE MR<br />
through the cervix shows<br />
frank parametrial extension<br />
on the right where the<br />
tumor transgresses the low<br />
signal cervical stroma. There<br />
were pathologic external iliac<br />
nodes .<br />
Diagnoses: Female <strong>Pelvis</strong><br />
(Left) Transverse<br />
transabdominal ultrasound of<br />
the bladder in a patient with<br />
hematuria <strong>and</strong> vaginal<br />
bleeding shows a lobulated<br />
mass in the posterior bladder<br />
<strong>and</strong> a mass containing gas<br />
st posterior to the bladder.<br />
(Right) Longitudinal<br />
transvaginal ultrasound of the<br />
same patient confirms that<br />
the bladder mass ſt is<br />
contiguous with a cervical<br />
mass st, which was biopsyproven<br />
to be squamous cell<br />
carcinoma.<br />
(Left) Longitudinal<br />
transvaginal ultrasound of the<br />
uterus in the same patient<br />
shows hematometra <br />
secondary to the cervical<br />
carcinoma st. (Right) Axial<br />
NECT the same patient shows<br />
the cervical mass st with a<br />
cystic component ſt, but it is<br />
difficult to determine if there<br />
is frank bladder invasion .<br />
733