Male 64 years old Reason: recently newly diagnosed rectal cancer staging History: rectal cancer Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Enlarged, heterogeneous prostate gland measuring up to 4.1 x 5.3 cm.BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: 3, the largest of which measures 1.7 x 1.7 cm at the left aspect of the sigmorectal junction (image 570/series 1209).Lymph nodes outside the mesorectal fascia: 0BOWEL, MESENTERY: Rectal Tumor:Size: 3.3 x 3.5 x 5.9 cm (AP by transverse by craniocaudal) (image 375/series 1209, image 21/series 901)Tumor appearance on T2-weighted images: Predominantly solid lesion with intermediate signal intensityTumor location: Upper-thirdCircumference of the rectum involved: 100%Relationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): No abutment or invasion.MRI T-stage: T3b - Tumor invades 0.5cm to 1cm into perirectal fat or extramural.Tumor Distance to Mesorectal Fascia: 2mm (image 54/series 601).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Rectal cancer with metastatic perirectal lymph nodes.