Reason: Evaluate for perirectal abscess History: perineal pain, exam sig for tenderness in posterior vaginal vault, left perineum PELVIS:BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No bowel obstruction is evident.BONES, SOFT TISSUES: There is a complex fluid collection posterior to the rectum with possibly small foci of gas that abuts the 6:00 position of the anorectal junction. The abscess measures 2.0 x 1.8 cm. There is moderate to severe surrounding inflammation. There is an inflammatory tract extending along the left aspect of the rectum without definite fistula. There is some inflammation in the left medial thigh.OTHER: No significant abnormality noted.
1.Small perirectal 2 cm abscess about the 6:00 position of the anorectal junction without definite fistulization to the skin however, there appears be some inflammation along the left perianal region which may represent a developing fistula. There is some inflammation in the left medial thigh as well.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.