History of Sally lipase an abscess of the left posterior lower leg. Burning sensation in the right lower leg today. Exam is limited due to overlying soft tissue from patient's body habitus.Left tibia/fibula: Severe degenerative changes affect the left knee and ankle with near bone-on-bone apposition of the medial compartment of the knee. There is no acute fracture or malalignment. Visualization and evaluation of the proximal medial tibia is limited due to overlying soft tissue. If there is clinical concern in this region, CT or MRI may be considered. Otherwise, no definite erosions or periosteal reaction to suggest osteomyelitis.Right tibia/fibula: Moderate to severe degenerative changes affect the right knee. No acute fracture or malalignment. Visualization and evaluation of the proximal medial tibia and distal tibia/fibula is limited by overlying soft tissues. If there is clinical concern in these regions, CT or MRI may be considered. Otherwise, no definite erosions or periosteal reaction to suggest osteomyelitis.
1.Osteoarthritis.2.Exam is limited by overlying soft tissues, if there is clinical concern in the region of the proximal medial tibia bilaterally or the distal right tibia/fibula, CT or MRI may be considered. Within these limitations there is no evidence to suggest osteomyelitis.