History of anal fistula with persistent fistulous drainage. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a low T1 signal tract extending from the 12:00 position of the external sphincter and traveling through the subcutaneous fat of the left perineum corresponding to the patient's previously noted perianal fistula. There is a very trace residual T2 bright tract lumen, but no significant inflammation in the adjacent soft tissues. There is mild postcontrast enhancement of the tract compatible with granulation tissue. No associated abscess.Partially visualized colonic diverticulosis and a giant sigmoid diverticulum.OTHER: Trace bilateral hydroceles.
1.Healing. No fistula with granulation tissue and minimal fluid along the tract as described. There is no significant adjacent edema or associated abscess formation. 