55-year-old male with a perianal fistula. Evaluate for fluid collection. ABDOMEN:LUNG BASES: No pleural or pericardial effusions.LIVER, BILIARY TRACT: Normal hepatic morphology without biliary ductal dilatation. Normal gallbladder.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Mild atherosclerotic calcification of the abdominal aorta. No pathologically enlarged retroperitoneal adenopathy. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Lesion of the T12 or L1 vertebral body (coronal image 27) with mild vertebral body height loss, may represent a hemangioma; other etiologies such as Paget's disease should be considered. If there are symptoms or clinical concern this may be further evaluated with an MRI or bone scan. OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No pelvic fluid collection.
No pelvic fluid collection.Lesion of the T12 or L1 vertebral body (coronal image 27) with mild vertebral body height loss, may represent a hemangioma but other entities as noted above could have a similar appearance. If this symptomatic or there is clinical concern this may be further evaluated with an MRI or bone scan. 