The uterine cervix is replaced by a heterogeneous, hypervascular mass measuring 60 x 50 x 63 mm. It has markedly irregular margins, likely infiltrating into the parametrium. There is evidence of extension to the posterior bladder wall.
The endometrial cavity is distended by fluid with low-level internal echoes, in keeping with a haematometra. This measures 51 x 74 x 91 mm (206 mL). Endometrium is not clearly seen, no intracavitary mass component is evident on ultrasound.
Normal postmenopausal appearance of both ovaries. No adnexal cysts or other masses.
No pelvic free fluid.
Moderate left hydronephrosis. The right kidney appears normal.
Pelvic sidewall lymph nodes are not adequately assessed with ultrasound.