26-year-old female with history of ulcerative colitis status post ileal pouch anal anastomosis with perianal abscess in 10/2014. Patient with burning anal pain. Evaluate the pelvis and perianal region. PELVIS:UTERUS, ADNEXA: Bilateral adnexal T2 hyperintense foci measuring up to 1.5 cm, consistent with physiologic follicles.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific bilateral subcentimeter inguinal lymph nodes.BOWEL, MESENTERY: Postoperative changes of colectomy and ileoanal anastomosis. No evidence of pelvic abscess. Small amount of pelvic fluid, likely physiologic in etiology.BONES, SOFT TISSUES: There is perineal granulation tissue with a subtle area of linear T2 signal which is nonspecific. No evidence of perineal abscess.OTHER: No significant abnormality noted.
1.No evidence of perineal or pelvic abscess.2.Linear T2 signal in the perineal region may represent non-fluid filled tract versus granulation tissue.