Figure 14c. Distant metastases. (a) Hepatic metastases in a 64-year-old woman who underwent radiation therapy. Portal venous phase CT scan shows multiple variably enhancing masses in the liver. (b) Lung metastases in a 41-year-old woman who underwent radiation therapy. Chest CT scan shows multiple nodular lesions (arrows) in the right lower lung. (c) Bone metastases in a 35-year-old woman who underwent radical hysterectomy. Contrast-enhanced CT scan shows multiple conglomerate lymph nodes (arrows) in the paraaortic space and irregular destruction (arrowhead) of the lumbar spine. There is marked hydronephrosis in the left pelvocaliceal system with cortical thinning.