58-year-old female patient with open wound in the right lower leg. Evaluate for osteomyelitis. There is an ulcer on the lateral aspect of the lower leg with thickening of the adjacent skin and edema within the underlying subcutaneous fat. Although the edema becomes confluent, we see no discrete fluid collection to suggest abscess formation. There is a small amount of edema adjacent to the peroneus longus tendon, but we see no intramuscular abscess. No bone marrow signal abnormality to suggest osteomyelitis. Additional mild subcutaneous edema is noted in the proximal leg and at the ankle. There is a small knee joint effusion and a small amount of edema posterior to the femur. Note is made of mild subcutaneous edema in the left leg on large field coronal images.
Soft tissue ulceration and adjacent cellulitis without evidence of osteomyelitis.