there is lrregular circumferential wall thickening at mid-upper rectum with mesorectal extenstion about 8 cm in length. no adjacent organ or pelvic side wall extension , possibly locally advanced CA rectum
- multiple enlarged mesorectal,mesosigmoidal, paraaortic and aortocaval nodes, nodal metastasis
- three cavitate and solid nodes at RML and rll, probably pulmonary metastasis.