10-year-old male with a history of Crohn's disease with multiple perianal fistulas/abscesses status post removal draining seton presents with increased irritation, induration, and pain. BONE MARROW: No significant abnormality noted.SOFT TISSUES: No abscess or drainable fluid collection is identified. High T2 signal in the soft tissues of the perineum with contrast enhancement likely reflects induration (series 1201, image 77). Hypointense foci adjacent to the rectum (series 401, image 48) with streaking linear high T2 signal (series 401, image 49). JOINTS: No significant abnormality noted.ADDITIONAL
1. Hypointense foci adjacent to the rectum with streaky linear abnormal signal is suspicious for residual or early recurrent enterocutaneous fistula.2. Abnormal enhancing signal the soft tissues of the perineum likely reflects induration.3. No abscess or drainable fluid collection is identified. 