60 year old male. Bilateral decubitus ulcers. Presenting with AMS. Evaluate for underlying osteomyelitis. Images are variably degraded by motion artifact, limiting evaluation.PELVIS: Mild edema in the subcutaneous fat and gluteus maximus of the right buttock (series 401, image 17). Marrow signal intensity of the pelvis is within normal limits. No evidence of osteomyelitis. Mild degenerative changes of the lumbar spine with multilevel disk bulges and posterior element hypertrophy. Mild osteoarthritis of the bilateral hips.Post-surgical changes in the sigmoid colon. Nonspecific mildly enlarged external iliac lymph node that is 1.3 x 1.4 cm (series 301, image 21). Prominent bilateral inguinal lymph nodes, likely reactive.
1. Mild edema in the soft tissues of the right buttock. No underlying osteomyelitis.2. Mildly enlarged right external iliac lymph node, nonspecific.