Male 85 years old Reason: evaluate for osteomyelitis History: chronic ankle ulcers, superimposed cellulitis A vitamin E marker was placed over the area of interest along the medial ankle.Bone: There is minimally increased T2 signal within the medial malleolus without corresponding T1 signal abnormality compatible with mild bone marrow edema. The marrow signal is otherwise unremarkable. There is no abnormal enhancement after the administration of contrast. Metal artifact is present adjacent to the lateral malleolus.Soft tissues: There is diffuse mild soft tissue edema. No discrete fluid collections are identified. There is marked muscle atrophy. The Achilles and flexor tendons are intact.
No evidence of osteomyelitis.