Male 35 years old Reason: staging evaluation for high rectal cancer. History: hematochezia Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: Two prominent lymph nodes are seen within the mesorectal fascia superior to the mass. For future reference, a left perirectal lymph node measures 9 x 6 mm (series 601/41).Lymph nodes outside the mesorectal fascia: Multiple prominent to mildly enlarged bilateral high common iliac lymph nodes are seen. For future reference, a left common iliac lymph node measures 9 x 8 mm (series 601/44).BOWEL, MESENTERY: Rectal Tumor:Size: 3.5 x 4.5 x 5.9 cm (series 501/21 and series 601/34).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): Not applicable.Distance of the lower edge of the tumor to the pelvic floor (relationship of the tumor to the anal sphincter complex): Not applicable.Circumference of the rectum involved: 100%.Relationship and proximity of the tumor to adjacent structures (prostate, seminal vesicles): Tumor abuts and exerts mass effect on the posterior dome of the bladder and the seminal vesicles without definite invasion.MRI T-stage: T3a - Tumor invades < 0.5cm into perirectal fat or extramuralTumor Distance to Mesorectal Fascia: 0 to 1 mm (series 601/34).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
High rectal tumor as detailed above with pelvic lymphadenopathy. Please note that the field of view does not include the aortic bifurcation.