Six weeks status post completion proctectomy with pelvic fluid collection status post IR drainage with leukocytosis, evaluate for osteomyelitis of the coccyx PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Left lower quadrant ostomy. Status post proctectomy. There is a T2 hyperintense tract extending from the base of the penis to the perineum. There is an additional tract posteriorly extending from the presacral soft tissues to the perineum. An enterocutaneous fistula involving a pelvic ileal loop can not be excluded. Small amount of presacral fluid and soft tissue edema without evidence of abscess. A percutaneous drain enters the presacral space.BONES, SOFT TISSUES: No evidence of osteomyelitis.
1.Postsurgical changes with two fistulous tracts extending from the pelvis to the perineum. An enterocutaneous fistula with a pelvic ileal loop can not be excluded. 2.No evidence of osteomyelitis.