50-year-old male with deep ulcer, pain, erythema and drainage from wound as well as an elevated CRP, evaluate for osteomyelitis There is a skin defect and deformity along the mid to distal anterolateral aspect of the leg consistent with history of a chronic ulcer. There is extensive underlying edema in the subcutaneous tissues as well as dystrophic calcifications along the course of the defect and adjacent to the lateral aspect of the tibia. However, no focal fluid collection is present to suggest abscess. The underlying marrow signal is intact without findings to suggest osteomyelitis. The muscles of the leg are diffusely atrophic. Numerous varicose veins are noted.
Ulceration along the lateral aspect of the leg and diffuse edema within the subcutaneous tissues. No evidence of osteomyelitis or focal fluid collection.