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Radiation changes are seen as areas of increased signal intensity in the spine or muscles on MRI because of the edema and bone marrow replacement by fat (see Fig.

17A and D). Fig. Plain film of bony pelvis obtained 5 years after irradiation shows thickened trabeculae in both sacroiliac areas. There is also loss of bone in the left side of the pelvis ( arrow ). This condition has been stable for several years. Bone XXX Youjizz Netzwerk narrow pussy, posterior projection, obtained 2 years after irradiation Netzwedk cervical carcinoma shows increased uptake in both sacroiliac XXX Youjizz Netzwerk narrow pussy. Increased activity in left ischium ( arrow ) pusssy a metastasis.

( Bbladder; L, left. ) Lymphoceles, abscesses, urinomas, and hematomas are not Gina Gerson Daddy Free Porn complications of surgical therapy for invasive gynecologic cancer.

Disruption of the lymphatic vessels during radical hysterectomy and pelvic lymphadenectomy leads to XXX Youjizz Netzwerk narrow pussy of lymphoceles (Fig.

63). Ultrasound or CT can evaluate these and other postoperative complications, such as abscesses, urinomas, or hematomas.

It is difficult to differentiate among the various types of fluid collections without ultrasound- or CT-guided aspiration. Fig. Lymphocele. Parasagittal sonogram of the pelvis to the left of the midline shows a large fluid collection with numerous septations 25 days after a total abdominal hysterectomy and pelvic lymphadenectomy. This was drained under ultrasound guidance. Percutaneous fine-needle aspiration biopsy procedures for suspicious mass lesions can be performed under ultrasound and CT guidance.

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