Male 68 years old Reason: RECURRENT RECTAL CANCER AT 10 CM AND SYNCHRONOUS BLADDER CANCER. STAGE RECTAL CANCER AND COMMENT ABOUT RELATION TO PROSTATE AND BLADDER History: RECTAL CANCER Overall image quality: Very goodPELVIS:PROSTATE/SEMINAL VESICLES: Benign prostatic hypertrophy. No lesions suspicious for prostate cancer. Right seminal vesicle and base of the prostate on the right side are indicated by the patient's known rectal cancer.BLADDER: Asymmetric early enhancement on the right side of the bladder wall compatible with patient's no history of bladder cancer.LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: NoneLymph nodes outside the mesorectal fascia: NoneBOWEL, MESENTERY: Rectal Tumor:Size: 2.8 x 2.3 cm mass arising from the right anterolateral aspect of the rectum invading the right seminal vesicle and base of the prostate, best seen on image number 34, series number 541. The mass is located at 8-cm of the rectum.Tumor appearance on T2-weighted images: HypointenseTumor location: 8-cm of the rectum): MRI T-stage: T4 there is evidence of extramural vascular invasion, best seen on image number 162, series number 1701.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large rectal cancer invading the right seminal vesicle and prostate base with extramural extravascular invasion.2.Right bladder wall thickening compatible with patient's known history of bladder cancer.