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Rectal Cancer ( *

Ultrasound studies show all layers of the rectal wall, represented in the image as 4 hyperechoic and 3 hypoechoic structures (assuming that the layer line between the inner circular and the other longitudinal layers are seen in the muscularis propria).

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    • The hyperechoic interface between the waterfilled balloon and the mucosa.
    • The hypoechoic deep mucosa (lamina propria and muscularis mucosae.)
    • The hyperechoic submucosa.
    • The hypoechoic muscularis propria (in some cases seen as 2 layers: inner circular and outer longitudinal layer.)
    • The hyperechoic interface between the rectal wall and the perirectal fat tissue.