Pain, anal canal stricturing, Crohn's protocol to assess for fistula/abscess PELVIS:UTERUS, ADNEXA: Physiologic ovarian follicles. BLADDER: Collapsed bladder, making assessment for wall thickening suboptimal. LYMPH NODES: Bilateral mildly prominent inguinal lymph nodes, measuring up to 1.2 cm. BOWEL, MESENTERY: Perianal fistulae formation seen at 4 o'clock and 6 o'clock positions terminating in intergluteal inflammatory focus posteroinferiorly, measuring 2.7 x 1 cm, with associated peripheral enhancement, no drainable internal fluid. Ahaustral appearance of colon. Small pelvic free fluid, may be physiologic or reactive. Incompletely imaged thickwalled right lower quadrant bowel, appears to be primarily ascending colon, ahaustral in appearance.BONES, SOFT TISSUES: No significant abnormality noted.
1. Perianal fistulae visualized at 4 o'clock and 6 o'clock positions, fistulae join beyond the origin of the 6 o'clock position tract, terminating in intergluteal inflammatory focus posteroinferiorly, measuring 2.7 x 1 cm.2. Incompletely imaged thickened right-sided bowel as described, likely reflecting sequela of patient's known inflammatory bowel disease.