38-year-old male with small perianal abscess. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy; scattered subcentimeter lymph nodes noted.BOWEL, MESENTERY: A left 3 o'clock position perianal fistula extending to the left and bifurcating extending both superiorly and inferiorly. Inferiorly, the fistula extends to the left gluteal crease. Superiorly, the tract extends to the left pelvic sling muscle, possibly puborectalis muscle, with thickening and high T2 edema type signal. The tract dilates up to 8 mm in width. The tracts together measure 9 cm when measuring from the inferior gluteal fold to pelvic sling musculature. Slightly more superiorly (series 501, image 27) is another sinus tract at the 2 o'clock position extending to the left pelvic muscle measuring 2 cm in length and 7 mm in width (image 28). Status post J-pouch creation with stool noted in the J-pouch. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Minimally complex fistulous and sinus perianal tracts as described above. Small collections measuring less than 1 cm in width. 