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Insights into Imaging
Fig. 10 | Insights into Imaging

Fig. 10

From: Multi-modality organ-based approach to expected imaging findings, complications and recurrent tumour in the genitourinary tract after radiotherapy

Fig. 10

A 46-year-old woman with locally advanced (Stage IIIB) cervical squamous cell carcinoma (open white arrows) with right ureteral involvement (U) depicted on treatment planning pelvic MRI with sagittal and coronal oblique T2 TSE sequences. Note the tumour is of intermediate T2 signal intensity (open white arrows) and that the brachytherapy device is appropriately positioned at the level of the tumour. Follow-up MRI demonstrates interval reduction of tumour size and T2 signal intensity with focal atrophy at the cervical os (closed white arrow) with progression of now moderate hydrometra on sagittal, axial and coronal oblique T2 TSE sequences. The findings are consistent with treatment response and post therapeutic cervical stenosis which is a common finding after RT for cervical carcinoma. Also note radiation proctitis (R) in (a) which resolves after therapy in (b) and fatty marrow replacement (M) in b after therapy

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