Fig. 17
From: MRI of rectal cancer—relevant anatomy and staging key points
A patient with an mrT3d MRF+ high rectal cancer also presents with a very irregular hypointense lesion in the high mesorectum (red arrow in a) that appears to both interrupt the course of a vein suggesting mrENTD (blue arrow in a) and to grow within it suggesting discontinuous mrEMVI (blue arrow in b). It is also in continuity with a round, irregular and heterogeneous structure appearing to be a positive lymph node with extracapsular extension (yellow arrows in b and c). The patient presented with synchronous metastatic liver disease, visible on b900 DWI (green arrows in d)