Ulcer, evaluate for osteomyelitis Tibia/fibula: No abnormal bone marrow signal or enhancement suggestive of osteomyelitis. There is linear focal bone infarct in the left distal tibia. Fatty atrophy of the calf musculature particularly soleus and gastrocnemius with edema within the musculature. Achilles tendon is thickened consistent with tendinopathy. Extensor tendons are grossly normal. Diffuse subcutaneous fat stranding and skin thickening.Ankle: No abnormal bone marrow signal or enhancement suggestive of osteomyelitis. Accessory soleus muscle. There is metallic artifact in the medial ankle from surgical staples seen on prior radiographs, which limits evaluation of ulceration. Skin thickening of the ankle.
No evidence of osteomyelitis. Fatty atrophy of the calf muscles. Circumferential skin thickening and diffuse inflammation of the soft tissues.