Female, 47 years old. Evaluate right arm for osteomyelitis, History: 47 female with history of nasal septal perforation s/p buccal and right radial forearm free flap reconstruction now with RUE cellulitis and XR showing possible osteomyelitis. Redemonstrated is an osseous defect in the distal radial diaphysis at the bone donor site with poorly defined and irregular margins consistent with prior CT study. There is decreased signal of the bone marrow on T1 precontrast imaging. There is enhancement of the periosteum at this level. There is mild enhancement of the bone marrow. While more intense enhancement of the bone marrow was expected, this may represent the effects of incompletely or intermittent treatment. While some of these these findings may represent postsurgical changes, overall this is compatible with osteomyelitis. There is diffuse enhancement of the adjacent soft tissues consistent with inflammation. There is soft tissue irregularity at the incision site. There is no drainable fluid collection. There are multiple foci of metallic blooming artifact on the radial aspect of the forearm consistent with surgical clips seen on the prior CT study.
Findings compatible with osteomyelitis of the distal radial diaphysis. No evidence of drainable fluid collection.