Male 47 years old Reason: newly diagnosed rectal cancer History: rectal cancer Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Wedge-shaped T2 hypointense foci in bilateral mid gland peripheral zones demonstrating restricted diffusion, particularly on the right. BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes outside the mesorectal fascia: At least nine lymph nodes are identified. The largest is in the posterior left mesorectal fascia measuring approximately 2.8 x 2.2 cm (series 5, image 10).BOWEL, MESENTERY: Rectal Tumor:Size: 4.0 x 3.0 x 6.0 cmTumor appearance on T2-weighted images: T2 isointense lesionTumor location: Posterior rectal wall with invasion into the posterior perirectal fat.(For lower rectal tumors):Distance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): 6 cmDistance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): 3 cmCircumference of the rectum involved: 180 degreesRelationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): Nonapplicable.MRI T-stage: T3c - Tumor invades >1cm into perirectal fat or extramuralTumor Distance to Mesorectal Fascia: The tumor extends above the level of the mesorectal fascia. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Indeterminate mid gland peripheral zone prostate lesions. Correlation with PSA is recommended.2.Upper rectal mass with mesorectal lymphadenopathy as described above. 