Figure 18c. Local recurrence of cervical carcinoma. (a) Sagittal T2-weighted image shows a small soft tissue mass within the posterior neofornix of the vagina (arrow). (b) Axial T2-weighted image shows that the mass is located along the left lateral margin of the anastomosis (arrow). (c) Coronal image of the pelvis obtained with fluorine-18 fluorodeoxyglucose positron emission tomography shows active disease at the site of the mass. Transvaginal biopsy demonstrated recurrent disease at this site.