47 year old female patient with rectal cancer and rectal bleeding/pain. Evaluate staging. Overall image quality: ExcellentPELVIS:UTERUS, ADNEXA: There are bilateral ovarian cysts, which are likely physiologic in a premenopausal female. BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: Sub-centimeter nodes (at-least 6)Lymph nodes outside the mesorectal fascia: Three subcentimeter left pelvic sidewall.BOWEL, MESENTERY: Rectal Tumor:Size: 3.3 x 3.8 x 1.8 cm (image 56/series 1601)Tumor appearance on T2-weighted images: Predominantly solid lesion with intermediate signal intensityTumor location: Upper-third(For lower rectal tumors):Distance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): N/ADistance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): 9 cmCircumference of the rectum involved: 360Relationship and proximity of the tumor to adjacent structures (uterus, cervix, vagina): Close but no definite invasion.MRI T-stage: T3b - Tumor invades 0.5cm to 1cm into perirectal fat or extramural.Tumor Distance to Mesorectal Fascia: 0cm (tumor abuts the fascia with areas of thickening and focal invasion (image 47/series 1101).BONES, SOFT TISSUES: Red marrow reconversion possibly due to anemia. Lower lumbar posterior spinal fixation hardware is noted. OTHER: Small amount of pelvic ascites.
Rectal mass with staging information as provided above. 