37-year-old female patient with chronic diarrhea, perianal abscess fistula. Confirm diagnosis of Crohn's. ABDOMEN:LIVER, BILIARY TRACT: A subcentimeter T2 hyperintense focus within the right hepatic dome too small to characterize, but likely a cyst. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There are no areas of bowel wall thickening, restricted diffusion, or abnormal enhancement. The terminal ileum is normal in appearance. No small bowel obstruction. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No intraabdominal abscess is identified.PELVIS:UTERUS, ADNEXA: A cystic lesion within the right ovary is likely physiologic in a premenopausal female. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Partially imaged and assessed are bilateral perianal fistulous tracts, right greater than left, with the right fistulous tract extending to the right gluteal cleft. The origin of the fistulae is difficult to ascertain, though they appear to originate at approximately the 6 to 7 o'clock position. No associated abscess is identified.OTHER: No intrapelvic abscess is identified.
1. Partially assessed bilateral perianal fistulae as described above. No associated abscess.2. Relatively normal appearing small and large bowel otherwise. 