47 year old male with a history of ulcerative colitis s/p total colectomy with IPAA, anal fissure, assess for fistula or abscess, presents with severe rectal pain. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted on this nondedicated examination.BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of enlarged lymphadenopathy.BOWEL, MESENTERY: Punctate foci of increased T2 signal abnormality with faint enhancement near postsurgical anastomosis and are nonspecific. These findings may represent postoperative changes, however, correlation with recent endoscopy findings is recommended. There is no evidence of fistula formation or fluid collection to suggest abscess formation. Postoperative changes of prior colectomy with ileo-anal anastomosis. BONES, SOFT TISSUES: No significant abnormality noted.
1. No evidence of fistula formation or focal fluid collection to suggest abscess formation.2. Punctate foci of T2 signal abnormality with faint enhancement at the level of the ileal pouch-anal anastomosis are nonspecific. These findings may represent postoperative changes, however, correlation with recent endoscopy findings is recommended. 