Question 1335
{"accessible":true,"alternatives":[{"id":6659,"text":"it is a mucinous adenocarcinoma"},{"id":6658,"text":"it is staged as T3"},{"id":6657,"text":"the circumferential resection margin is threatened"},{"id":6656,"text":"there are tumor deposits in the mesorectal compartment"},{"id":6660,"text":"there is extramural venous invasion"}],"archived":false,"correctAlternativeId":6659,"explanation":"\u003cp\u003eIn this single image, the tumor extends through the left-sided wall into a vessel and there is a large node/tumor deposit along the vessel's path. There is also a tumor deposit involving the mesorectal fascia on the left which means that the circumferential resection margin is threatened. There is a small volume of fluid within the rectum's lumen, but the tumor's predominant signal is intermediate; with mucinous adenocarcinoma, the predominant signal would be high within the tumor.\u003c/p\u003e\u003cp\u003eImage credit: Dr Vikas Shah\u003c/p\u003e","id":1335,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/41/rectal-cancer-t4-n2-v1-crm-involved__2__big_gallery.jpeg","imageAttribution":{"kind":"own","user_id":34108,"user_param":"vikasshah","user_name":"Vikas Shah"},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1336","nextQuestionPath":"/articles/rectal-cancer/questions/1206","relatedArticles":[{"id":7136,"title":"Rectal cancer (staging)","link":"/articles/rectal-cancer-staging?lang=us"},{"id":37677,"title":"Circumferential resection margin","link":"/articles/circumferential-resection-margin?lang=us"},{"id":43061,"title":"Extramural vascular invasion (EMVI)","link":"/articles/extramural-vascular-invasion-emvi-1?lang=us"},{"id":54405,"title":"Mucinous carcinoma of the colon","link":"/articles/mucinous-carcinoma-of-the-colon-1?lang=us"},{"id":83201,"title":"Tumor deposits","link":"/articles/tumour-deposits?lang=us"}],"alsoUsedIn":[{"id":457,"kind":"Course","title":"Radiology Review Course - Melbourne - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/457"},{"id":457,"kind":"Course","title":"Radiology Review Course - Melbourne - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/457"},{"id":457,"kind":"Course","title":"Radiology Review Course - page 457","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/457"},{"id":635,"kind":"Course","title":"Lectures by Vikas Shah - page 635","link":"https://radiopaedia.org/courses/lectures-by-vikas-shah/pages/635"},{"id":635,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 635","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/635"},{"id":635,"kind":"Course","title":"2020 Virtual Conference Private Use - page 635","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/635"}],"stem":"\u003cp\u003eWhich of the following is \u003cstrong\u003eNOT TRUE\u003c/strong\u003e regarding this coronal T2-weighted MR image of rectal cancer:\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1335"}],"attemptsPercentages":[{"alternativeId":"6660","percentage":11},{"alternativeId":"6658","percentage":17},{"alternativeId":"6656","percentage":6},{"alternativeId":"6659","percentage":57},{"alternativeId":"6657","percentage":10}],"promptToLogin":false,"questionManager":false,"articleId":"rectal-cancer"}