History of Crohn's disease with worsening perianal pain. Evaluate for perianal abscess/fistula. PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: Most contracted urinary bladder.LYMPH NODES: No pelvic lymphadenopathy. Small inguinal lymph nodes.BOWEL, MESENTERY: The visualized small and large bowel is normal in caliber without wall thickening or abnormal enhancement. Colonic diverticulosis.BONES, SOFT TISSUES: Again seen are inflammatory changes along the left gluteal cleft within a thin communication to the rectum at approximately the 5 o'clock position, without a drainable fluid collection and similar to the prior study. A seton appears to be in place.No focal suspicious osseous lesion. Lower lumbar facet joint degenerative changes. Degenerative disk disease.OTHER: No significant abnormality noted.
Stable appearance of the inflammatory changes along the left gluteal cleft with a thin communication with the rectum at approximately the 5 o'clock position. No drainable fluid collection. 