Pilonidal sinus (intergluteal) - MRI

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pain and bump at the right gluteal region.

Patient Data

Age: 25 years
Gender: Male

Sinus tract in the intergluteal region in subcutaneous fat planes at the level of the inferior aspect of the last coccygeal vertebra

The tract traverses posteriorly and inferiorly and ends in subcutaneous intergluteal fat planes just to the right of the midline

Mild surrounding inflammatory fat stranding is seen.

Case Discussion

MRI findings are suggestive of the pilonidal sinus tract.

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