• RT insitu.
• There is e/o heterogenously enhancing circumferential assymetrical wall thickening is noted involving the anal canal and rectum for a approximate length of 12-14cm. It is causing complete luminal obstruction of rectum leading to dilatation of proximal large bowel loops with maximum diameter measuring 8cm in the region of caecum. Adjacent fat stranding with thickening of mesorectal fascia is noted. No e/o calcifications are noted within this lesion.
Anteriorly- It is seen abutting prostate. Fat plane with urinary bladder and seminal vesicles appears distinct.
Posteriorly and laterally –It is not seen extending beyond the mesorectal fascia.
Inferiorly – It is seen extending upto the anal verge.
Multiple enlarged adjacent peri rectal lymph nodes are noted largest measuring 2x1.3cm.
• There is e/o few subcentimetric hypodense hypoenhancing lesions are noted in segment VIII of liver likely s/o metastasis. Tiny subcentimetric calcified granuloma is noted in