Female 52 years old Reason: evaluate for lymphatic disease History: rectal cancer Pathology states that a proximal rectal lesion from recent colonoscopy is compatible with invasive well-differentiated rectal adenocarcinoma. The lesion on colonoscopy report was described as diffuse flat and multilobulated. Overall image quality: GoodPELVIS:UTERUS, ADNEXA: 3.2 x 1.7 cm ovoid lesion in the left lateral pelvis (801:47) is felt to represent an ovary, however, the right ovary is not well seen. Patients uterus is atrophic/surgically absent.BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: 7 mm, anterior to the rectosigmoid colon (801:46). Other tiny nodes are also seen. For example a 5 mm node (801:45) right posterior lateral to the rectosigmoid colon.Lymph nodes outside the mesorectal fascia: Subcentimeter left internal iliac node (801:58) is nonspecific.BOWEL, MESENTERY: No discrete identifiable tumor is seen. Majority of the rectosigmoid colons dark serosal signal is preserved. A small 7 mm T2 gray gently lobulated lesion is seen along the left posterior lateral aspect on axial T2 oblique images (1001:37). This may represent a small focus of T3 tumor, but is very small accurately characterize. There is a denuded appearance of the visualized rectosigmoid colon with hypervascularity and enhancement suggestive of a chronic colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.MRI findings suggestive of chronic colitis, likely ulcerative. 2.No definitive identifiable tumor is seen. A 7 mm lesion described above could represent T3 tumor but is very small accurately characterize. Several lymph nodes are seen, with a few described above. These are indeterminate as to whether they're related to ulcerative colitis or tumor.