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Insights into Imaging
Fig. 21 | Insights into Imaging

Fig. 21

From: Imaging side effects and complications of chemotherapy and radiation therapy: a pictorial review from head to toe

Fig. 21

A 52-year-old woman with a FIGO IIa cervical cancer (arrow in a) treated with external beam RT and ChT, followed by high dose rate brachytherapy boost in July 2017. In December 2017 (b) sagittal T2-weighted image showed an almost normal reconstitution of hypointense cervical stroma. Axial T2-weighted MRI follow-up in April 2018 showed a fistulous tract (arrowhead in c) of the right-posterior vaginal wall at the level of fornix, that blinded-ended in correspondence of piriformis muscle. Axial post-contrast fat-suppressed T1-weighted images (d, e) showed better the fistulous tract (arrowhead in d) and irregular enhanced thickening of vaginal wall (arrows in d, e), extended to cervix, which raised a strong suspicion of disease recurrence. Axial CT image performed on September 2018 showed progressive disease since the pathologic tissue infiltrated pelvic side wall, rectum and bladder (respectively arrow, arrowhead and empty arrow in f)

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