Male 57 years old Reason: please evaluate for local spread of disease History: biopsy proven rectal cancer. EPIC Pathology OSH Report: 6/2/15 colonoscopy. 8 mm sessile polyp in cecum. 8 mm sessile polyp in hepatic flexure. 1.4 cm sessile polyp with central ulcerations in rectum at 3 cm from anal verge. Diverticuli in left colon, Internal hemorrhoids. 6/2/15 cecal polyp fragments of tubular adenoma. Hepatic flexure polyp tubular adenoma. Rectal polyp moderately differentiated adenocarcinoma arising in an adenomatous polyp. Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Abnormal signal in the anterior mid-gland of the prostate is suboptimally evaluated on this large field MRI.BLADDER: No significant abnormality noted. LYMPH NODES: No suspicious mesorectal lymph nodes.Lymph nodes in the perirectal space, within the mesorectal fascia: N/ALymph nodes outside the mesorectal fascia: N/ABOWEL, MESENTERY: Rectal Tumor: No abnormal focal wall thickening or post-contrast enhancement is evident. No residual abnormality is evident.Size: N/ATumor appearance on T2-weighted images: N/ATumor location: N/A(For lower rectal tumors): N/ADistance of the lower edge of the tumor to the anal verge (lower edge of the anal canal): N/ADistance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): N/ACircumference of the rectum involved: N/ARelationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): N/AMRI T-stage: N/ATumor Distance to Mesorectal Fascia: N/A BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No abnormal focal wall thickening or post-contrast enhancement is evident. No residual abnormality is evident in the region of the reported cancerous polyp resection. No pelvic lymphadenopathy.2.Signal abnormality in the anterior mid-gland of the prostate is suboptimally evaluated on this large field MRI. Correlation with PSA is recommended.