CT of the thorax and abdomen –
Thorax: no metastati spread
Abdomen:
The right inguinal lymph node is severely enlarged at 3 x 2.2 x 6.1 cm with moderate peripheral fat-stranding, increased short-to-long-axis-ratio > 0.5 and irregular contrast enhancement. The right sided tributary lymph nodes (hypogastric, medial iliac and sacral) are markedly enlarged and rounded, short-to-long-axis-ratio > 0.5. The lymph nodes of the hypogastric area on the left side are prominent and rounded as well, short-to-long-axisratio > 0.5. The wall of the vagina/cervix presents moderate focal circumferential and transmural thickening at 1 cm cranial to the vaginal vestibulum. The spleen is enlarged and rounded