61-year-old female with lower extremity wounds, assess for osteomyelitis. Left foot: There is diffuse edema of the subcutaneous soft tissues without evidence of discrete fluid collection or sinus tract. Marrow signal of the forefoot and midfoot appears within normal limits, without evidence of osteomyelitis. There is no pathologic enhancement on postcontrast images.Right foot: There is diffuse edema of the subcutaneous soft tissues without evidence of discrete fluid collection or sinus tract. There is focal edema type signal signal along the dorsal aspect of the base of the first metatarsal adjacent to the tarsometatarsal joint with small cystic spaces, which is favored to be degenerative or post-traumatic in etiology. There is no pathologic enhancement on postcontrast images.
Diffuse soft tissue swelling and degenerative changes without specific evidence of osteomyelitis.