Right knee pain, proximal tibia, fever, leukocytosis, elevated ESR/CRP, assess for osteomyelitis Extensive osseous T1 hypointensity predominantly involving the proximal tibial metaphysis, and to a lesser degree, the proximal tibial epiphysis, proximal and middle thirds of the tibial diaphysis, as well as the proximal fibular epiphysis, metaphysis, and diaphysis. There is associated T2 hyperintensity in these regions. The cortex of the proximal tibial is thin and indistinct, particularly posterolaterally. These findings are compatible with acute osteomyelitis. There is associated enhancement in these regions on the post contrast images but no evidence of enhancing fluid collection to suggest abscess. There is a small knee joint effusion. Subcutaneous and intramuscular soft tissue edema is present in the upper leg.
Acute osteomyelitis of the proximal tibia and fibula as above without evidence of abscess. Findings discussed with Orthopaedics x4081 at 1045 am on 2/11/2016.