Multilobulated, homogenous soft tissue mass centred on the sacrum with associated destruction of the sacrum and internal calcifications. The mass extends into the presacral space, displacing the rectum and anterior sacral nerve roots anteriorly. Further extraosseous extension posteriorly into the subcutaneous tissues overlying the sacrum. No pelvic or abdominal lymphadenopathy by size criteria.
Arterial supply of the mass like originates from bilateral internal iliac artery branches.
Incidental ovoid hypoattenuating focus within hepatic segment 3 may represent a hepatic cyst.
No intra-abdominal free fluid or gas. Colonic faecal loading and diverticulosis. Bilateral direct fat-containing inguinal hernias. Small fat-containing umbilical hernia.
Vertebral body haemangiomas within T10, T11, L3, and L4. Minimally displaced sacral alar fractures are discernible.
Indwelling catheter within the urinary bladder.