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Fig. 3A. 59-year-old woman with ulcerative carcinoma extending beyond proper muscle layer. Transverse T2-weighted fast spin-echo MR images (TR/TE, 4,000/84) were obtained before (A) and after (B) rectal distention. Nodular bulging outer contour of rectum (arrow, A) was noted on anterolateral aspect of rectum. Three reviewers indicated that tumor penetrated outer wall of rectum. After rectal distention, mass (arrow, B) is clearly identified and outer muscular layer is well delineated with no evidence of disruption. Three reviewers correctly identified mass confined to rectal wall.





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