39-year-old female patient with intermittent left-sided perianal drainage with mucus and blood. Please evaluate for fistula or abscess. PELVIS:UTERUS, ADNEXA: The patient is status post hysterectomy and bilateral oophorectomy. There is a fluid collection adjacent to the vagina in the left hemipelvis that measures approximately 9.6 cm in craniocaudal dimension without peripheral enhancement.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There are no fistulous tracts or fluid collections in the perianal region.OTHER: No significant abnormality noted.
1.No fistulous tracts or evidence of perianal abscess.2.Fluid collection in the left hemipelvis adjacent to the hysterectomy surgical bed most likely represents a lymphocele.