72-year-old female with leg pain. Evaluate for osteomyelitis versus fasciitis of the right leg. Degenerative changes affect the right knee. Vascular calcifications and phleboliths are identified in the overlying soft tissues. Note is made of diffuse soft tissue swelling about the leg. There is apparent periosteal reaction along the lateral aspect of the proximal fibula. No definite osteolysis, sinus tract or foci of deep subcutaneous gas density are identified to suggest acute osteomyelitis. If strong clinical concern for osteomyelitis, further evaluation with MRI could be considered.
Extensive soft tissue swelling and apparent periosteal reaction along the lateral aspect of the proximal fibula which is nonspecific. Chronic osteomyelitis cannot be excluded. If strong clinical concern for osteomyelitis, further evaluation with MRI could be considered.