84-year-old female who was noted to have soft tissue posterior to the bladder with focus of air in the pelvis on CTE. Evaluate for possible colovesicular fistula or vesicovaginal fistula. PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: There is no evidence of colovesicular fistula or vesicovaginal fistula. Partially visualized moderate hydroureter bilaterally. Previously noted air posterior to the bladder is likely the vaginal cavity.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Nonspecific few T1 hyperintense and T2 hypointense foci in the cul-de-sac without evidence of enhancement (series 5, image 20; series 6, image 20; series 10, image 69).BONES, SOFT TISSUES: Small amount of free fluid is noted in the pelvis. There is mild to moderate soft tissue edema, right greater than left anteriorly. Additionally, there is fluid tracking in the pubic symphysis and extending into the anterior soft tissues. Small fat-containing ventral hernia is present.OTHER: No significant abnormality noted.
1.No evidence of colovesicular fistula or vesicovaginal fistula. Previously noted air posterior to the bladder is most likely within the vaginal canal.2.Bilateral partially visualized moderate hydroureter.