Reason: 64 y/o man w/ concern for osteomyelitis There is ulceration of the soft tissues of the heal pad with a nonenhancing track extending from the skin surface to the plantar aspect of the calcaneus. There is abnormal signal intensity and enhancement throughout the majority of the calcaneus, particularly posterior body indicating osteomyelitis. Relatively low signal intensity within the calcaneus on the STIR sequence that does not enhance following gadolinium administration may represent devitalized bone. Also nonenhancing soft tissue posterior to the calcaneus that may be devitalized. Thickening of the skin along the plantar and posterior aspect of the calcaneus and reticulation of the subcutaneous fat indicating cellulitis. Additional soft tissue ulceration noted posteriorly. Visualized tendinous structures appear intact. Severe fatty atrophy of the musculature of the ankle and foot. Edema along the dorsum of the foot. Small amount of fluid in the tibiotalar and subtalar joint and small amount of fluid in the medial and lateral tendons and retrocalcaneal bursa, not necessarily of clinical significance.
Osteomyelitis of the calcaneus and other findings as described above.