36-year-old female. History of multiple fistula. Evaluate for multiple fistula tracts. PELVIS:UTERUS, ADNEXA: Retroverted uterus with intrauterine device. No uterine or adnexal masses.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: High T2 signal transsphincteric fistula tract likely arising from the 3 o'clock position of the anus with enhancement in the left perineal soft tissues tracking to the skin surface of the left inner gluteal cleft. No perirectal abscess. Minimal asymmetrically increased enhancement and thickening along a reflection in the left ischioanal fat extending towards the inferior edge of the obturator internus muscle.OTHER: No significant abnormality noted.
Transsphincteric fistula tract likely arising from the 3 o'clock position of the anus going posteriorly into the left inner gluteal cleft. No evidence of an abscess.