CT
Findings: There is a large heterogeneous solid mass, containing central necrosis, measuring 12 x 10 x 9 cm, arising from the uterine cervix. It is inseparable from the posterior urinary bladder wall, extending into the parametrial area and invading/encasing the ovaries and right ureter leading to moderate hydroureteronephrosis and diffuse periureteric soft tissue thickening. Mild right perinephric fat stranding and perinephric free fluid. Partially duplex bilateral renal collecting system. A double-J stent is seen in the lower pole moiety of the right kidney. Poorly enhancing upper pole of the right kidney and a few hypo enhancing /nonenhancing focal lesions in the left kidney. A well-defined hypodense lesion showing peripheral enhancement, measuring 2.5 cm is seen in the segment 2 of the liver. Mild splenomegaly. Enlarged bilateral external iliac and left inguinal lymph nodes. Small fat containing umbilical hernia. Two small subcutaneous nodules are seen in the anterior abdominal wall (above & below the umbilicus).
Conclusion: 1. Large cervical mass; possible differentials include lymphoma of the uterine cervix and carcinoma of the cervix. Possibility of leiomyoma of the uterine cervix is unlikely. Hepatic & renal lesions, pelvic & left inguinal lymphadenopathy and small subcutaneous nodules are likely metastatic deposits.