Computed tomography (CT) scan of stage IVb cervical carcinoma (same patient in Images 14-17 in Multimedia). There is the presence of borderline enlarged para-aortic and pelvic lymph nodes, presumably secondary to metastasis; left hydronephrosis and hydroureter to the level of the large cervical tumor; and direct intraluminal extension of the tumor into the bladder. The borderline enlarged left para-aortic lymph node is consistent with stage IVb cervical carcinoma.

http:// emedicine.medscape.com/article/402329-media