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Fistulogram with Multiva

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A 58-year-old male with known history of fistulas presented at Holy Family Hospital, New Delhi, India. The patient underwent surgery for fistula 5 months back and now on follow up shows recurrence of fluid discharge. He underwent a MR fistulogram on Multiva 1.5T. 

MR examination

The MR examination was performed on a release 5.1 Multiva 1.5T system using the HeadSpineTorso (HST) coil.

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Images and findings

Coronal STIR Axial STIR Axial T1
Coronal STIR
Axial STIR
Axial T1

Diagnosis

The imaging suggests a fistula with a partially fibrosed tract in the left posterior perineal tissue extending superiorly into irregular thick walled collection in the peri-anal fossa. Another fistulous tract extending from it into a small septated thick walled collection in the right peri-anal region. There is also a secondary fistulous tract extending from this, that has opening into anal canal.

Impact of imaging with Multiva 1.5T

MR imaging of Fistulogram requires very high quality imaging to depict small fistulas, their pathway, openings and characteristics. In this case-study, non contrast MR Imaging on a Multiva of the perineal region in small FOV sagittal, coronal and axial planes is able to demonstrate fistula . Excellent Multiva performance is shown in imaging the details of fistulogram. 

 

 

 

Results from case studies are not predictive of results in other cases. Results in other cases may vary. This content is intended for countries other than the USA.


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May 26, 2015

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Case Study
Multiva 1.5T
Release 5
Body, Fistula, fistulogram, HeadSpineTorso coil, Pelvis, perineum
 

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