Reason: Crohn's DZ, now with diarrhea and belly cramping, wounds near rectum. Imaging to assess for fistula, fissure, Crohn's flare? History: Crohn's DZ, now with diarrhea and belly cramping, wounds near rectum. Imaging to assess for fistula, fissure, Crohn's flare? PELVIS:UTERUS, ADNEXA: Nabothian cysts. BLADDER: No significant abnormality noted.LYMPH NODES: Enlarged inguinal lymph nodes measuring 2.2 x 1.6 cm on the left (5/11) and 1.3 x 1.2 cm on the right (5/13). Prominent right external iliac node measures 1.7 x 0.9 cm (5/19).BOWEL, MESENTERY: There is mild edema and inflammatory changes involving the right gluteal fold and perennial region as well as the labia bilaterally. No focal fluid collections are present. A focus of increased T2 signal posterior to the anal canal distally (5/7) likely represents external contrast or fluid. No evidence of fistulas or abscesses.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild right gluteal and perineal inflammatory changes without definite fistula or drainable rim enhancing collection or abscess identified.2.Mild pelvic and inguinal lymphadenopathy is likely reactive.