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Axial STIR a and T1-weighted with contrast-enhancement b show an abscess white arrows with central cavity. With progressive fibrosis the high-signal intensity of the lumen decreases, denoting chronic phase of a fistula. Tract enhancement on contrast-enhanced fat-suppressed T1-weighted image C arrow. And with their horrible tumors too. This change in thickness resulted from a combination of muscle displacement and distortion.

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No special patient preparation is needed.

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MR imaging evaluation of perianal fistulas: Following physical examination including digital rectal and vaginal examination, ano-proctoscopy and biopsy, imaging is required to evaluate the local extent of the lesion, lymph node involvement, possible invasion of adjacent organs and distant metastases [ 69 ]. For the above-mentioned indications, perhaps a simpler protocol would be enough.

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