Male 53 years old Reason: Please follow protocol IRB # 14-0288. Rectal cancer, please assess disease state post Chemo/RT, RECIST compare to previous MRI. History: as above Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Rectal tumor abutment and mild invasion into the prostate gland has decreased.BLADDER: No significant abnormality noted.LYMPH NODES: Previously seen small, rounded lymph nodes within the mesorectal fascia have decreased in size. Reference largest lymph node measures 4 x 4 mm, previously 5 x 4 mm (series 1101/55). Mildly enlarged bilateral pelvic sidewall lymph nodes have also decreased in size. Reference right pelvic sidewall lymph node measures 10 x 6 mm, previously 10 x 9 mm (series 1101/67).BOWEL, MESENTERY: Lower third rectal tumor has decreased in size with no accurately measurable tumor on the current exam.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small left scrotal hydrocele.
1. Lower third rectal tumor with mild invasion into the prostate gland has decreased. 2. Prominent to mildly enlarged pelvic lymph nodes have decreased in size.