Female, 18 years old. History of actinomyces infection, off antibiotic therapy; eval progression of disease UTERUS, ADNEXA: The uterus and adnexa are normal in appearance. Multiple physiologicfollicles are seen bilaterally.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy.BOWEL, MESENTERY: No abnormal bowel wall thickening or evidence of obstruction. The posterior rectal wall abuts the loculated fluid collections, without evidence of involvement of the bowel wall. BONES, SOFT TISSUES: The multiloculated rim-enhancing fluid collection in the presacral space is unchanged from the prior study. The referenced left portion of the collection measures 3.5 x 1.8 cm (series 8, image 20), unchanged. The right portion of the collection measures 1.9 x 0.9 cm (series 8, image 19), unchanged. High T2 signal involving the coccyx without enhancement is unchanged. No other fluid collections are identified. The subcutaneous soft tissues are normal. OTHER: Trace pelvic free fluid.
1.Unchanged multiloculated, rim-enhancing presacral fluid collections as well as non-enhancing high T2 signal involving the coccyx.2.No new subcutaneous fluid collection or other new acute abnormality.