Male 10 years old Reason: Hx of perianal abscesses, R/O abscess reaccumulation and fistulae History: perianal abscess, anemia PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: A prominent perirectal lymph node is likely reactive (series 601/25). Slightly prominent inguinal lymph nodes are also likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: High signal is present within both gluteal folds, left greater than right, compatible with edema. Two fluid tracks are seen arising from the six o'clock position of the anus, one on the right and one on the left, which extends to the skin surface of the gluteal folds compatible with perianal fistulae (series 601/41-51). The left fistulous tract is larger in diameter than the right, measuring 5 mm in maximal thickness (series 601/48). There is an additional sinus tract, which arises off a more superior aspect of the anus, also at the six o'clock position, which appears to extend to the medial gluteal fold surface as well (series 601/36-41). OTHER: Small volume ascites.
1.Three perianal fistulae as detailed above.2.No evidence of abscess as clinically questioned.3.Small volume ascites.