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.