5.6 cm length bulky tumour commencing 11 cm from the anal verge, adherent to the posterior aspect of the bladder. Communication between the lumen of the upper rectum and bladder with moderate volume of air in the dependent position within the urinary bladder.
No bowel obstruction.
Solid organs of the upper abdomen normal.
No significant para-aortic or pelvic lymphadenopathy.
Large midline hernia containing transverse colon and small bowel.
No focal bone lesion.