can someone translate this for me. I follow must of it, but the more I read it, the more confused I get.
Findings:
There is a 3.8 x 1.9 x 3.2 cm thick-walled rim-enhancing fluid
collection between the ileoanal pouch and the sacrum. The inferior
aspect of the collection immediately abuts the ileoanal anastomosis. No
definite communication with the lu
men is seen, but such a communication
would be difficult to visualize on MRI and cannot be excluded. There is
is mild-to-moderate surrounding inflammation in the presacral space.
The pouch is not well distended but appears mildly thickened and
hyperemic.
Numerous mildly enlarged lymph nodes are seen around the pouch and in
the mesentery, slightly increased from prior.
The urinary bladder is unremarkable.
The prostate gland is normal in size with nonspecific T2 signal
abnormality in the peripheral zone.
Impression:
Thick-walled rim-enhancing collection between the pouch and sacrum
consistent with abscess. The overall size of the area of abnormality is
similar to the prior CT scan, but this now appears as a more
well-defined discrete fluid collection whereas previously there was
mostly soft tissue thickening with minor ill-defined fluid and a small
focus of gas. No definite communication with the lumen is seen, but the
collection immediately abuts the
anastomosis and such a communication be
excluded on MRI.
The pouch also appears thickened and hyperemic consistent with
pouchitis.
Mildly increased lymphadenopathy, likely reactive.
collection between the ileoanal pouch and the sacrum. The inferior
aspect of the collection immediately abuts the ileoanal anastomosis. No
definite communication with the lu
men is seen, but such a communication
would be difficult to visualize on MRI and cannot be excluded. There is
is mild-to-moderate surrounding inflammation in the presacral space.
The pouch is not well distended but appears mildly thickened and
hyperemic.
Numerous mildly enlarged lymph nodes are seen around the pouch and in
the mesentery, slightly increased from prior.
The urinary bladder is unremarkable.
The prostate gland is normal in size with nonspecific T2 signal
abnormality in the peripheral zone.
Impression:
Thick-walled rim-enhancing collection between the pouch and sacrum
consistent with abscess. The overall size of the area of abnormality is
similar to the prior CT scan, but this now appears as a more
well-defined discrete fluid collection whereas previously there was
mostly soft tissue thickening with minor ill-defined fluid and a small
focus of gas. No definite communication with the lumen is seen, but the
collection immediately abuts the
anastomosis and such a communication be
excluded on MRI.
The pouch also appears thickened and hyperemic consistent with
pouchitis.
Mildly increased lymphadenopathy, likely reactive.