40-year-old female with history of rectal cancer. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted. BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: There is a right perirectal lymph node measures 4 x 3 mm, approximately 1.5 cm from the mesorectal fascia. A second lymph node is present in the right perirectal space measuring 5 x 3 mm approximately 1.2 cm from the mesorectal fascia.Lymph nodes outside the mesorectal fascia: NoneBOWEL, MESENTERY: Rectal Tumor:Size: 2.3 x 0.8 x 3.2 cm (image 12/series 12)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): 11 cmCircumference of the rectum involved: 2 o'clock to 6 o'clock - 75%Relationship and proximity of the tumor to adjacent structures (uterus, cervix, vagina): Uterus, cervix and vagina are uninvolved.MRI T-stage: T3a - Tumor invades < 0.5cm into perirectal fat or extramuralTumor Distance to Mesorectal Fascia: 14 mm (image 14/series 12).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.T3a rectal tumor as above.2.No evidence of metastatic disease in the abdomen.