Female 23 years old Reason: rectal fullness, hx of fevers. assess for abscess, pelvic pathology History: rectal fullness, hx of fevers ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No focal suspicious hepatic lesions. Hepatic and portal veins are patent. No significant fatty infiltration.No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is normal in morphology. Pancreatic duct is normal in caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber and course. The terminal ileum is not imaged.There is diffuse rectal wall thickening involving the distal rectosigmoid up to a 12 cm segment. This segment shows hyperenhancement, wall edema and increased surrounding vascularity.No associated abscess. This is subtle T2 hyperintense linear band extending from the 12 o'clock position of the anus towards the vagina and is suspicious for a small perianal fistula that extends to the right.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Small physiologic adnexal follicles.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Please see above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of active inflammation involving the rectum and distal sigmoid for a 12 cm segment.2.Findings of a small perianal fistula extending from the 12 o'clock position extending anteriorly to the right..