74 year-old female history of Crohn's disease. PELVIS:UTERUS, ADNEXA: Bilateral ovaries, the left with a 1.5 cm cyst.BLADDER: The bladder contains debris with a moderate amount of wall thickening.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a wide T2 hyperintense fistulous connection between the rectum at the 12 o 'clock position and the posterior aspect of the vagina (image 58 of series 501). Additionally, there is a thin connection from the bladder at the 7 o'clock position to the anterior vagina (image 59 of series 501). These channels are in continuation with one another.There is an additional fistulous connection between the superior aspect of the rectal stump to a loop of tethered small bowel (image 77 of series 501).Right lower quadrant ostomy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is moderate right hydroureter and ureteral wall thickening measuring up to 10 mm (image 90 of series 501).
1.Rectovaginal, vesicovaginal, and rectoenteric fistulae as above.2.RIght hydroureter and ureter thickening and inflammation measuring up to 10 mm concerning for infection.