Foot ulcer There is abnormal low T1 signal with corresponding high T2 signal within the distal portion fibula, best seen on series 18 and 21, image 7/68. Although there is no discrete bony erosion, the findings are concerning for early osteomyelitis. No additional areas of focal osteomyelitis are identified. There is no evidence of focal fluid collection/abscess. There mild diffuse soft tissue edema surrounding both the medial and lateral malleoli. Diffuse increased signal is also noted within the plantar musculature which also may be reactive given the patient's history of a muscular dystrophy.
Findings concerning for early osteomyelitis of the distal fibula although the exam is limited as the distal fibula is not included on axial sequence. No additional areas of definite osteomyelitis are identified and there is no evidence of abscess. If surgical intervention is being considered, repeat MRI for confirmation should also be considered.