Fracture, concern for osteomyelitis The exam is limited by the presence of an intramedullary rod within the tibia. As a result, detection of abnormal marrow signal within the tibia is severely impaired.Within the limits of the exam, there is focal areas of normal marrow signal intensity of the proximal tibia to the level of the metadiaphysis. Remaining evaluation of the tibia is otherwise obscured. There is mild diffuse subcutaneous edema and mild muscular edema of the posterior compartment. There is no focal fluid collection. There is a comminuted fracture of the distal tibia with lobulated areas of increased T1 signal along the fracture sites likely representing areas of hemorrhage.
1. Detection of osteomyelitis is severely limited given the presence of an intramedullary rod within the tibia. There is no surrounding fluid collection or ulceration however evaluation of abnormal bone marrow of the tibia is severely limited. 2. Comminuted fracture of the distal tibia with associated hemorrhage.Findings were discussed with ordering physician Dr. Murray at the time of dictation.