Figure 13b. Mesenteric and peritoneal recurrence of cervical carcinoma in a 37-year-old woman who initially underwent radiation therapy. (a) Contrast-enhanced CT scan obtained at the level of the renal hila shows a mesenteric mass (arrows) encasing the superior mesenteric artery (arrowhead). (b) Contrast-enhanced CT scan obtained 5 cm caudad to a reveals ascites (A) and irregular thickening of the peritoneum (arrows), findings that are indicative of implants. (c) Contrast-enhanced CT scan obtained 8 cm caudad to b shows a low-attenuation, heterogeneously enhancing tumor implant in the right paracolic gutter (arrow) with resulting medial displacement of the ascending colon (C). (d) Contrast-enhanced CT scan obtained at the level of the false pelvis demonstrates multiple serosal implants (arrows) distorting the lumen of the sigmoid colon (C).