Pain, burning sensation in perianal region and past history of discharge from left perianal region.
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Fistulous tract in perianal region with an external opening in midline. The tract is seen to course anteriorly and slightly superiorly in intersphincteric plane with internal opening likely at 6'o clock position. Fibrosed branching tract is seen arising from the above tract, in intersphincteric plane on right side, ending blindly at approx. 9'o clock position. Possible branching tract also seen on left posterolateral aspects, ending in left gluteal region.
Findings are consistent with an intersphincteric fistula with branching tracts in a patient presenting with pain, burning sensation in perianal region and past history of discharge.