Right calcaneous wound, boggy, increase drainage, hx of osteomyelitis. Evaluate for osteomyelitis. Markers were placed along the medial aspect of the heel, presumably denoting the site of the patient's wound. There is diffuse skin thickening and subcutaneous edema, compatible with known history of lymphedema. Mild enhancement in the soft tissues is seen along the posterior inferior aspect of the calcaneus indicating inflammation, though there is no discrete rim-enhancing fluid collection to suggest abscess. Mild osteoarthritis affects the midfoot and hindfoot. Patchy foci of intermediate signal intensity are seen in the bones of the midfoot and hindfoot that may represent red marrow changes, but we see no evidence of osteomyelitis. A fifth metatarsal fracture seen on recent radiographs is incompletely imaged on this study. The visualized tendons are intact.
1.Soft tissue edema and inflammation without evidence of osteomyelitis or abscess.2.Known fifth metatarsal fracture, incompletely imaged on this study.