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Insights into Imaging
Fig. 6 | Insights into Imaging

Fig. 6

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

Fig. 6

A 49-year-old woman post RT for locally advanced cervical squamous cell carcinoma depicted on pre-treatment axial CECT (a) which demonstrates the large necrotic cervical tumour (C). Following RT, a conventional cystogram was performed to evaluate for suspected fistula. Late filling AP (b) and oblique (c) radiographs of the urinary bladder demonstrate classic findings of radiation cystitis with a reduced capacity bladder that is elevated from the pelvic floor and has a rounded appearance. Note bladder wall thickening and trabeculation. Oblique radiograph (c) also depicts filling of the vagina (dashed black arrow) and rectum (solid black arrow) in keeping with complex radiation-induced vesicovaginal and rectovaginal fistulas

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