20-year-old male with a history of cerebral palsy with multiple pressure ulcers and persistent fevers. Evaluation is slightly limited due to the patient's foot contracture related to the stated history of cerebral palsy. A flex coil was used instead of a dedicated ankle coil resulting in slightly suboptimal image quality. There is ulceration along the posterior aspect of the ankle with thickening of the adjacent skin and intermediate signal intensity of the underlying subcutaneous fat which may reflect chronic scarring. There is minimal, if any, enhancement of the subcutaneous fat. We see no rim-enhancing fluid collection to suggest abscess formation. We see no underlying signal abnormality within the bone marrow to suggest osteomyelitis. There is also mild subcutaneous edema within the dorsum of the forefoot. We see no signal abnormality within the underlying bone to suggest osteomyelitis. There is diffuse atrophy of the musculature of the ankle and foot.
1. Soft tissue ulceration and superficial inflammatory changes of the foot and ankle without evidence of osteomyelitis.2. Contracture with ankle hyperextension and diffuse muscular atrophy compatible with the patient's history of cerebral palsy.These findings were relayed to Dr. Daum via phone at 12:55 pm on 8/7/15.