Reason: Eval bony changes. History: MRI and CT. Would like to see bone on XR. The patient has undergone disarticulation of the right hip. There is gas density adjacent to the remaining proximal femur reflecting extension of underlying ulceration as seen on the prior MRI examination with periosteal reaction along the proximal femur likely representing a combination of acute and chronic osteomyelitis. There is also chronic deformity of the right iliac wing. A segment of the ischium is not visualized perhaps due to prior surgery or long-standing osteomyelitis. There is also deformity of the left ischium that appears chronic on this radiograph. Please note that the left greater tuberosity is not included in the field of view of this study. There are posterior stabilization rods affixing the lumbosacral spine which are incompletely imaged on this examination. Note is made of a left lower quadrant colostomy. There are surgical clips projecting over the right hemipelvis.
Disarticulation of the right hip with gas density adjacent to the right femur and findings suggestive of osteomyelitis as well as other findings as described above.