CT-guided abscess drainage sample dictation
Procedure: CT-guided abscess drainage.
After informed consent was obtained the patient was placed [supine] on the CT table. Initial images of the [lower abdomen] were obtained. The puncture site was marked on the patient's skin and 1% lidocaine was administered. Using a 19 gauge needle and under CT guidance the [right lower quadrant] collection was punctured via a [right posterior] approach. A J-wire was threaded through the needle into the collection.
After serial dilatations a  French APD was placed within the collection and sutured to the patient's skin with 2-0 silk.
Initial CT images demonstrate [the patient status post right hemicolectomy with an ileocolonic anastomosis and an adjacent air-containing collection in the right lower quadrant].
Final images demonstrate the  French APD within this collection.
Approximately  cc of [purulent] fluid was aspirated and a sample was sent for culture and sensitivity.
The patient tolerated the procedure well without complications.
Dr. , the attending interventional radiologist, was present for the critical portions of the procedure and reviewed all images obtained.
Medications: Versed  mg IV, Fentanyl  mcg IV
Successful CT-guided drainage of the [right lower quadrant] collection. The catheter was left to gravity drainage. Cultures pending.