Figures description
Figure 1. (A and B) non-contrast-enhanced axial CT images exhibit a
heterogeneous retroperitoneal mass with extensive dense popcorn-like
calcifications in the left paracervical area and the left common iliac
vein. (C and D) Post-contrast images reveal only subtle heterogeneous
enhancement of the mass, mainly in its periphery. The lytic bony lesions
are identified in left iliac bone, indicative of metastasis. (D)
Post-contrast coronal CT clearly displays the extension of the mass to
the ipsilateral distended external, internal and common iliac veins.
Fig2. Axial T2 weighted(A) and axial precontrast T1 weighted (B) MR
images represent a lobulated heterogeneous left paracervical mass with
central popcorn signal voids (calcifications). The coronal STIR (C) and
sagittal T2 weighted images can well display the extension of the mass
to the expanded ipsilateral internal, external and common iliac veins.
Coronal \euro and sagittal (F) contrast-enhanced images revealed
peripheral moderate enhancement of the non-calcified components of the
mentioned retroperitoneal mass and its extension to the left iliac vein
complex as well as multiple enhancing bony metastases.
Fig 3. Bone scan represents multiple metastatic lesions involving
bilateral pelvic bones, both femoral heads, some of the bilateral ribs
as well as vertebral bodies.