Nonhealing coccyx wound. Evaluate for fistula. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Multiple moderately prominent inguinal and femoral lymph nodes are likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small left complex hydrocele. There is diffuse moderate anasarca of the soft tissues. The bone marrow signal intensity of the visualized osseous structures is unremarkable.There is mild linear enhancement extending from the 5 to 6:00 position of the anus extending superiorly along both the right and left intergluteal cleft. This is not associated with a discrete T2 weighted hyperintense fluid tract and likely represents residua granulation/healing tissue of the previously described perianal fistula. On the right the enhancement does not extend as cranially as on the prior study. On the left the enhancement appears to extend deep to the coccyx (series 1102/207). There is no discrete fluid collection.OTHER: No significant abnormality noted.
No discrete T2 intense sinus tract and/or fistula. Residual linear enhancement in a similar distribution to the previously described perianal fistula favored to represent granulation/healing tissue. No drainable fluid collection.