History of recurrent fistulas. PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Best seen on the post contrast imaging is a fistula tract extending from approximately4:00 position extending into the ischioanal fossa inferiorly to the medial gluteal cleft with a Seton in place. There is also a small fistula extending from approximately the 6:00 position of the anal canal extending anteriorly and towards the left and likely communicates with the above-described fistulous tract best seen on the DWI images (series 9/115).No drainable fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Transsphincteric fistula extending from the 4:00 position of the anal canal and inferiorly to the medial gluteal cleft with a Seton in place. This likely communicates with a 6:00 position short fistulous tract as well.