Female; 69 years old. Reason: R/o Osteo History: fever MRI right foot:There is soft tissue ulceration at the medial and posterior aspect of the heel with abnormal signal and enhancement extending from the ulcer to the underlying calcaneus. However, there is no signal abnormality within the calcaneus itself to indicate osteomyelitis. No fluid collections to suggest abscess. A rounded focus of increased signal in the navicular bone may represent a cyst, ganglion, or small enchondroma. Mild osteoarthritis affects the ankle and midfoot. The visualized tendons appear intact. The visualized ligaments appear grossly intact, although lack of striations of the deep fibers of the deltoid ligament may represent an old sprain. Fatty atrophy of the plantar musculature noted.MRI left foot:No evidence of osteomyelitis. Mild nonspecific edema seen in the pre-Achilles fat pad. No fluid collections or evidence of abscess. The visualized tendons appear intact. The visualized ligaments appear grossly intact, although lack of striations of the deep fibers of the deltoid ligament may represent an old sprain. No abnormal enhancement.
Right heel soft tissue ulceration and inflammatory changes, but no evidence of osteomyelitis.