Heel ulcer There is diffuse subcutaneous edema, skin thickening and subcutaneous gas throughout the hindfoot with ulceration of the soft tissues overlying the calcaneus. The distalmost calcaneus demonstrates low T1/high T2 signal consistent with osteomyelitis. No additional foci of osteomyelitis are identified. There is no evidence of abscess within the limits of a noncontrast examination.Osteoarthritic changes affect the talonavicular and talocalcaneal articulations. Osteoarthritis also affects portions of the midfoot.A mild amount of fluid surrounds the flexor hallucis longus tendons as well as the peroneal tendons otherwise the tendons of the ankle appear intact.
Osteomyelitis of the calcaneus with overlying soft tissue ulcer. Diffuse subcutaneous edema and inflammation without evidence of abscess within the limits of noncontrast exam.