Reason: Evaluation of soft tissues of the pelvis and lumbar spine. Please extend scan proximally to lumbar spine to eval soft tissue for involvement of infection History: Osteomyelitis of L lumbar spine in pt with spinal hardware Extensive metallic susceptibility artifact from the patient's lumbosacral fixation device limits evaluation of the lumbar spine and sacrum as well as the surrounding soft tissues. Again seen is a postoperative deformity of the right hip. There is increased bone marrow signal abnormality within the right femoral head which is likely degenerative in etiology. There is a small amount of fluid within the right hip which is likely of no current clinical significance. There is fatty atrophy of the imaged musculature of the right hip and iliacus muscles bilaterally.There is increased signal abnormality within the subcutaneous tissue along the posterior aspect of the sacrum on the left, best seen on coronal STIR sequences indicating nonspecific inflammatory change. There is increased signal abnormality within the paraspinal musculature as well which is nonspecific but may be postsurgical in etiology. Extensive metallic susceptibility artifact severely limits our ability to evaluate for hardware complication. Please see the dedicated MRI lumbar spine report for additional details.
Extensive metallic susceptibility artifact severely limits evaluation, particularly in the area of the orthopedic hardware and surrounding soft tissues. Nonspecific subcutaneous inflammatory change along the posterior aspect of the sacrum, on the left, with other findings as described above. Please see the dedicated MRI lumbar spine report for additional details.