Male 78 years old Reason: rectal cancer History: rectal cancer Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Heterogeneous prostate gland which is enlarged and measures up to 4 x 5.5 cm (series 3/38).BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fat: Six which are suspicious due to restricted diffusion and enhancement, with the largest at the level of the rectosigmoid junction on the left measuring up to 1.4 x 0.9 cm (series 8/12).Lymph nodes outside the mesorectal fascia: None which are suspicious. Subcentimeter in short axis left pelvic sidewall and bilateral inguinal lymph nodes are not enlarged by size criteria and do not demonstrate restricted diffusion or enhancement.BOWEL, MESENTERY: Rectal Tumor:Size: 4.4 x 3 x 5.1 cm (AP x transverse x craniocaudal) (series 7/152 and series 4/18).Tumor appearance on T2-weighted images: Predominantly solid lesion with intermediate signal intensity.Tumor location: Lower-third(For lower rectal tumors):Distance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): 2.4-cm.Distance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): 1-cm.Circumference of the rectum involved: 75 to 100% (series 3/33).Relationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): No abutment or invasion.MRI T-stage: T3a - Tumor invades < 0.5cm into perirectal fat or extramural (series 3/38).Tumor Distance to Mesorectal Fascia: Approximately 1.5-cm (series 3/35).BONES, SOFT TISSUES: Small fat-containing left inguinal hernia.OTHER: No significant abnormality noted.
Rectal cancer with mesorectal fat invasion and metastatic perirectal lymphadenopathy seen.