Multiple large circumscribed masses in the space of Retzius. Most of the lesions are inseparable from each other. The majority show predominantly homogenous and avid contrast enhancement, but some of the lesions enhance heterogenously. The anterior margin of the masses infiltrates into the lower rectus muscles. Posteriorly it has mass effect on the bladder with no tissue plane separating the masses from the bladder, but the bladder wall remains continuous and enhances normally.
Multiple other smaller nodules in the subcutaneous fat of the lower abdominal wall and lower rectus muscles with similar enhancement characteristics.
Small enhancing lesions on the left side of the uterus.
Multiple small circumscribed pulmonary nodules at the lung bases. No evidence of other solid organ or peritoneal metastatic disease.