There was fistula which almost healed , If there is no small opening around anus and nothing coming out (watery discharge or pus)of that opening then nothing to be done as internal opening is already closed . But if pus collection increases then it May form new opening /tract . So get treatment for fissure /constipation and antibiotics course .

It’s very small abscess , n rest of the tract is fibrotic You can wait I have some follow up questions Do you have any discharge ? ( like pus or water ) Do you have pain

✓Most likely it's Chronic anal fissure+Low intersphincteric fistula.. ✓Until the diagnosis is clear, focus on preventing constipation and allowing the fissure to heal.

Based on your MRI, there is a small low intersphincteric fistula with a tiny intersphincteric abscess (0.03 cc). However, MRI findings should always be correlated with clinical examination, and a chronic fissure can sometimes mimic or coexist with a small fistula. Since one surgeon could not identify a fistula clinically while others advised surgery based on the MRI, I recommend consulting an experienced colorectal surgeon. If there is recurrent pus discharge, repeated swelling (“pimple”), or persistent symptoms, an Examination Under Anaesthesia (EUA) may be the best way to confirm or rule out a fistula before proceeding with surgery. Meanwhile, continue fissure care with a high-fiber diet, adequate fluids, warm sitz baths, and stool softeners if needed. Do not rush into surgery based on the MRI report alone; the decision should be based on both your symptoms and examination findings.

Since you are having chronic fissure in ano, which is causing you discomfort and pain; and also MRI has shown small low intersphinteric fistula with small absecss , you have to get operated for the chronic fissure and also fistula in ano. Since MRI has shown fistula with abscess, it catto be wrong. The MRI report is always correct. So please consult a general surgeon or GI surgeon and get it operated.

If no complaint.. nothing to do