Periosteal reaction, skin wounds Note that the exam is significantly limited by motion artifact. The patient also prematurely terminated the exam and all sequences were not able to be performed.Again seen is abnormal marrow signal within the left proximal tibia which is identified on the standing coronal views. There is mild diffuse edema of the soft tissues and muscles of the lower extremity, particularly proximally. There is no evidence of a discrete fluid collection. Within the limits of this exam, there is no abnormal marrow signal of the right tibia/fibula to suggest osteomyelitis.
1. Abnormal marrow signal within the left proximal tibial metadiaphysis may represent early bone infarction but appears unchanged from the prior exam.2. No evidence of osteomyelitis within the right tib-fib.