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Insights into Imaging
Fig. 13 | Insights into Imaging

Fig. 13

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

Fig. 13

A 57-year-old woman with locally advanced (Stage IVa) squamous cell carcinoma of the cervix demonstrating invasion of the posterior wall of the urinary bladder (black arrow) and right ureter (U) at baseline MRI on axial and sagittal T2 TSE (a and b) and sagittal T1 fat-saturated post-gadolinium (c) gradient recalled echo (GRE) images. Note sterile ultrasound gel within vagina and atrophic uterus (Ut). Following RT there is a small but definite communication between the anterior wall of the vagina and the posterior wall of the urinary bladder (open arrows) depicted on axial (d) and sagittal (e) T2 TSE findings consistent with post-RT vesicovaginal fistula. A double-J ureteric stent (short white arrow) to relieve right hydroureteronephrosis and fatty marrow replacement (M) are also noted

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