Fig. 7

Neoplastic recto-VF, CT and MRI findings of VF-related vaginitis. In a 72-year-old with previous hysterectomy and resected rectal carcinoma, CT (a) shows local recurrence (*) indissociable from the air-filled vagina (arrows). Despite impossible gynaecological exploration, T2-weighted images (b, c) and fat-suppressed (FS) post-gadolinium T1-weighted (d) MRI images show increased solid tumour mass (*), air- and fluid-filled vagina (arrows) with circumferential wall thickening, oedematous T2 signal intensity and positive enhancement. The fluid-filled communication (thin arrows) between presacral air-fluid collection (+) and vagina is consistent with VF