69-year-old female with a nonhealing deep ulceration of the plantar left heel. Metallic susceptibility artifact from the patient's fibular plate and screw device limits evaluation of the lateral aspect of the ankle.There is soft tissue irregularity along the plantar aspect of the calcaneus consistent with the stated history of ulceration. There is subcutaneous edema in the surrounding area. The ulceration extends to the level of the plantar aspect of the calcaneus. No focal fluid collection is identified to suggest abscess formation. There is diffuse nonspecific subcutaneous edema about the ankle and dorsal aspect of the foot which may represent a cellulitis.There is increased signal abnormality and fluid sensitive sequences within the calcaneus. There is associated decreased signal abnormality within the tuberosity of the calcaneus corresponding to the aforementioned increased signal abnormality on fluid sensitive sequences, consistent with osteomyelitis.
Findings consistent with osteomyelitis of the calcaneus as described above. Other findings as described above.