Left ankle swelling, tender to palpation, evaluate for osteomyelitis Again noted are multiple regions of signal abnormality in the proximal and distal tibial metadiaphyses with geographic low T1 and T2 signal and punctate foci of T1 hyperintensity. There is no significant bone marrow edema. There is very little associated marrow enhancement, which has decreased compared to the prior exam. There is soft tissue edema about the ankle.
1. Lower extremity infarcts without evidence of osteomyelitis. 2. Left ankle soft tissue swelling.