A large ulcerating mass involving the lower rectum and extending to the mid-rectum. The mass extends beyond the muscularis propria. There is 1 cm adenopathy seen left posterior to the lower rectum. There is no distant metastasis consistent with T3N1M0.

There is a chronic pelvic abscess secondary to a fistulous tract connecting the rectal cavity to the presacral space and extending to the left pelvic sidewall. There is a chronic diverticular disease.