MR PELVIS WITH AND WITHOUT CONTRAST - RECTAL CANCER:

procedure information technique:
multiplaner, multisequence MRI of the pelvis was performed using a pahsed-array surface coil with and without contrast.

Patient history: rectal cancer (adenocarcinoma).

Uterus is atrophic (33*66 mm).
Endometrioma is thin and atrophic.
There are few intramural myoma with maximum diameter 9 mm in posterior wall (FIGO=4).
Both ovaries are atrophic.
No adnexal mass is seen.
Long segment Circumferential wall thickening of rectum is seen with involving of lower and mid third of rectum with maximum longitudinal diameter 64 mm.
Lower tumor border distance from anorectal junction is 15 mm.
Tumoral lesion is below the sigmoid take off and upper than peritoneal reflection.
Fat obliteration between rectosigmoid, upper border of tumoral lesion and posterior wall of uterus is noted.
Invasion to mesorectal fat at 9 o’clock with 8 mm extension is noted.
Mesorectal fascia seems intact but invasion to peritoneal reflection is suspected.
Two suspicious perirectal Lymph node with maximum diameter 6 mm is noted.

Impression: rectal cancer stage CT4a N1