Large heterogeneous enhancing solid necrotic mass measuring about 100*110*120 mm with marked water restriction occupied the pelvic cavity originated from the lower two-third rectum left posterolateral side with exophytic growing and infiltration with effacement of mesorectal fascia with extensions as followed:
- Posterior: infiltration of presacral space with effacement fat plan, adhesion to the sacrococcygeal region, external obturator, and pyriformis muscle.
- Anterior: adhesion to uterine cervix and vagina causing the anterosuperior displacement of the uterus.
- Inferior: infiltration of the ischiorectal and ischioanal fossa .
- Superior: extension into the pelvic inlet up to the S1 level.
Circumferential thickening of the rectal wall at the upper third portion
Regional and iliac chains lymphadenopathies
Both ovaries are unremarkable.