Female 70 years old Reason: evaluate for osteomyelitis History: wound x 3 weeks with increased drainage, increased pain. hx lymphedema. There is skin thickening and reticulation of the subcutaneous fat consistent with stated history of lymphedema. There is replacement of the subcutaneous fat along the posterolateral aspect of the calcaneus with abnormal signal intensity and enhancement, presumably representing inflammation related to the overlying wound. Focal signal abnormality within the underlying calcaneus, specifically within the inferolateral aspect of the posterior tuberosity, that demonstrates slightly decreased signal on T1-weighted images and slightly increased signal on T2 weighted images as well as contrast enhancement and is suspicious for osteomyelitis. We see no additional foci of osteomyelitis.TENDONS: The visualized tendons are intact.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: Mild degenerative arthritic changes affect the ankle, hindfoot, and midfoot. Additionally, please refer to 'findings' above.ADDITIONAL
Signal abnormality within the inferolateral aspect of the posterior tuberosity of the calcaneus suspicious for osteomyelitis.