Reason: Crohn's disease of colon. History: Rectal pain. Assess for perirectal fistula PELVIS:UTERUS, ADNEXA: Bilateral ovarian cysts, likely physiologic.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Severe inflammation of the imaged colon. No abnormal intrapelvic fluid collection to suggest abscess formation.BONES, SOFT TISSUES: There is horseshoe shaped perianal fistula from the distal anus at 5-6 o'clock extending superiorly to the gluteal cleft (series 12 image 55, series 14 image 450). No adjacent fluid collection.OTHER: No significant abnormality noted.
1.Perianal fistula as above.2.Severe inflammation of the imaged colon.