55-year-old male with history of colorectal cancer. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Multiple perirectal lymph nodes measuring less than 5 mm noted within the perirectal fat. The closest is located on the left approximately 6 mm from the mesorectal fascia.BOWEL, MESENTERY: Near-circumferential mildly enhancing fungating mass of the upper rectum/sigmoid junction measuring 16 mm in maximal axial thickness and approximately 5 cm craniocaudally. The adjacent serosal surface is slightly indistinct as well as fat stranding suggesting tumor involvement. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Colonic mass in the upper rectum (near rectosigmoid colon) with invasion to level of serosa and adjacent mild infiltration of adjacent fat noted. Multiple small perirectal lymph nodes. The mesorectal fascia is uninvolved.