We would normally insert a rectal gel to outline the lumen, but not in this case given the presence of an anal mass

Locally advanced ...
Axial T2
Locally advanced rectal cancer invading the mesorectal fat with local and distant lymph node metastases as well as probable extension into the vault of the vagina (on the left) and extension via the anal mucosa out to the right posterior anal verge.
Modality: MRI (T2)

- “ ​MRI is the investigation of choice for local staging of rectal cancer. T2-weighted imaging in 3 planes is recommended, parallel and perpendicular...”

View full size version of Rectal carcinoma (MRI findings)

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