Rozatluay

Clinical data: Technique: CT Abdomen and Pelvis with IV and rectal contrast. Coronal and sagittal reformate were obtained. Comparison: not available. Findings: The rectal contrast is passing freely through the rectum, sigmoid, descending colon, transverse colon, ascending colon, ileal loops of small bowel. with no contrast extravasation. The small and large bowels are adequately distended with normal wall thickness and enhancement. No mechanical bowel obstruction. No pneumatosis intestinalis. No detectable suspicious masses. The liver is normal in size with homogeneous parenchyma and regular outlines. No focal lesions or intrahepatic bile duct dilatation. Normal CBD and portal veins. The spleen, gallbladder, pancreas, kidneys and adrenal glands are grossly unremarkable. The urinary bladder is adequately distended with normal wall thickness and enhancement. The pelvic organs appear unremarkable. No free fluid or free air. No lymphadenopathy according to CT size criteria. Apart from mild atherosclerotic burden affecting the abdominal aorta and its branches, the major abdominal vascular structures are grossly unremarkable. The scanned part of the chest appears unremarkable. No suspicious bone lesions.   Conclusion:    Unremarkable CT scan of the abdomen and pelvis. MRI is the study of choice for evaluating anorectal fistula.