Please evaluate for osteomyelitis in a patient with right knee pain and history of below-the-knee amputation. Again seen are findings related to below the knee amputation. The patient's knee is held in flexion which limits evaluation of the knee joint, proximal tibia, and distal femur.There is sclerosis of the residual proximal tibial diaphysis likely representing chronic osteomyelitis and corresponding to signal abnormality seen on prior MRI. The tibia appears similar to that seen on prior radiographs in July 20, 2015 with no progression of osteolysis.
Surgical changes of below-the-knee amputation with sclerosis of the residual tibia consistent with chronic osteomyelitis without progression of osteolysis.