Female, 81 years old. Nonhealing wound, drainage, hyperpigmentation There is ulceration of the soft tissues along the lateral aspect of the lower leg. There is thickening and enhancement of the adjacent skin suggesting inflammation. There is diffuse reticulation of the subcutaneous fat indicating edema with relatively mild enhancement. There is mild edema of the muscles of the leg, particularly the peroneal musculature with minimal if any enhancement. There is also fatty infiltration of the posterior musculature of the lower leg. We see no rim-enhancing fluid collection to indicate an abscess. Evaluation of the proximal tibia and surrounding soft tissues is limited by metal susceptibility artifact from the patient's knee hardware, but marrow signal is otherwise normal without evidence of osteomyelitis. Note is made of subcutaneous edema affecting the right leg as seen on large field of view images.
Soft tissue ulceration and edema without evidence of abscess or osteomyelitis.