Table 7. Radiology reporting checklist for MRI/CT/PET-CT.
CLINICAL DETAILS:
Preoperative staging/AUB or postmenopausal bleeding/incidentally detected endometrial carcinoma post-hysterectomy for staging
HPE results—available/unavailable; If available, molecular profiling: Nonaggressive/aggressive/unknown Fertility preservation: yes/no FINDINGS: Uterus: If postop status, comment on the vaginal vault. (Elicit history of how many days postop). Uterus size: _____ x _______ x _______ cm Uterus position: anteverted/retroverted Hydrometra: absent/present Tumor epicenter: uterus/cervix; if uterus endometrium/myometrium Tumor size: _____ x _______ x _______ cm Extent of uterine involvement: Myometrial invasion: absent/present; if present < 50% or >50% Uterine serosa: not involved/involved. Cervical stromal invasion: absent/present Adnexa: Mass in the ovaries/fallopian tubes: absent/present If yes: contiguous/noncontiguous with the uterine mass Describe mass: appearance, extent Parametrium: not involved/involved, if involved contiguous/non-contiguous with the uterine mass Vagina: not involved/involved, if involved contiguous/non-contiguous with the uterine mass Bladder, distal ureters, rectum: not involved/involved, if involved contiguous/noncontiguous with the uterine mass Kidneys: hydronephrosis absent/present Peritoneum: a) Pelvic peritoneum: not involved/involved b) Extra-pelvic peritoneum: not involved/involved, if involved extent Ascites: absent/present; if present mild/moderate/large volume Lymph nodes: SAD mm a) internal iliac/external iliac/obturator b) Common iliac c) Para-aortic: infrarenal/suprarenal d) Omental/mesenteric e) Diaphragmatic f) Mediastinal/hilar g) Supraclavicular Other findings: Other organ metastases: Lungs/liver/bones/brain Co-existent malignancies check list: Stomach/bowel/breast/ovary and tubes IMPRESSION: If histology if available, provide FIGO stage If histology is not available, provide the following information in the impression: T-findings: Depth of myometrial invasion (< 50% or >50%); cervical stromal invasion; uterine serosal/adnexal infiltration/pelvic peritoneal infiltration/bladder or rectal infiltration. N-findings: M-findings: |
Abbreviations: CT, computed tomography; FIGO, International Federation of Gynecology and Obstetrics; MRI, magnetic resonance imaging; PET-CT, positron emission tomography-computed tomography.