Male 55 years old Reason: colorectal staging History: occasional brbpr Overall image quality: Satisfactory.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: At least 6 tiny nodes seen (see key images)Lymph nodes outside the mesorectal fascia: Tiny pelvic sidewall nodes, at least 2 (see key images)BOWEL, MESENTERY: Rectal Tumor:Size: 1.6 (axial) x 5 (CC) x 2.9 (AP) cm, image 29 series 1101Tumor appearance on T2-weighted images: IsointenseTumor location: Rectosigmoid colon (For lower rectal tumors):Distance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): n/a Distance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): n/aCircumference of the colon involved: At least 180 degrees, see image 29 series 1101Relationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): RemoteMRI T-stage: Tumor Distance to Mesorectal Fascia: 1.7 cm, image 57 series 701BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Adjacent serosal surface slightly indistinct with fat stranding seen, suspicious for tumor involvement.
1. Rectosigmoid mass with extension to level of serosa and tiny adjacent lymph nodes as above. 