Case Study: Sh. Harbhajan Singh

February 27, 2021admin Case Studies Fistula Piles

Patient Name: S. Harbhajan Singh

Age: 70/M

MRI of perineal region

Protocol

Stir and SE T1 W sequences in coronal plane

Stir sequence in sagittal plane

SE T1 W and FS TSE T2 W sequences in axial plane on a 1.5 T scanner

There is a collection In the right perineal region in the extrasphincteric space. It measures 13.2 x 4.3 x 4.0 cm in size. It is hyper intense on T2 W and hypointense on T1 W images. It shows a few ramifications.

It is extending anterio-superiorly up to the 10 o’clock position at the level of levator sling. There is no superalevator extension. In its inferior part, it is Involving the external sphincter in the 7 o’clock position causing thickening and oedema of the sphincter with oedematous changes in the intersphincteric space

No internal external opening could be discerned

Impression: MR findings revealed right perineal abscess.