Rectal carcinoma is one of the more common forms of malignancy.

Local staging is typically undertaken with MRI with CT for the assessment of metastatic disease.

Cross sectional imaging is hugely influential in determining the clinical management decision of patients.

In this case the tumor was T3,N2,M1 (liver).

The case illustrates a good example of a T3 tumor and also highlights the superiority of MRI in local (T stage) of the disease.