Carcinoma of the cervix
Bleeding per vaginal with pain.
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There is thickening of cervix with heterogenous enhancement, measuring approx. 59 x 54 mm with evidence of bilateral parametrial infiltration, encasing the right lower ureter causing mild hydroureteronephrosis. The mass is indenting on the posterior bladder wall with loss of perivesical fat plane. There is also evidence of hydrometra.