Severe hydroureteronephrosis with marked renal parenchymal atrophic changes are seen on the left side. No renal or ureteral stones are noted bilaterally.
Due to prior resection, the uterus and ovaries are not seen at the anatomical location. A 16×14 mm soft tissue density mass like lesion is noted at the distal of the left ureter that involves the left UVJ.
Multiple enlarged lymph nodes are seen at para aortocaval regions with SAD less than 20 mm.