Male 71 years old; Reason: evaluate for osteomyelitis. Pt with severe redness and purulence of leg. Images are slightly degraded by motion artifact.There is diffuse soft tissue swelling about the ankle and midfoot, most prominent at the dorsal and medial aspects. No osseous changes are seen to suggest osteomyelitis. No drainable fluid collection is evident. No discrete soft tissue ulcer is seen. This soft tissue edema extends cranially beyond the field of view of this exam. The soft tissue ulceration seen on the prior radiographs is not included in the field of view.Degenerative changes are noted in the midfoot. There is a pes planovalgus deformity of the mid and hindfoot, which is better evaluated by the prior radiographs. The tendons and ligaments of the ankle are unremarkable.
1. Diffuse soft tissue edema, without evidence of osteomyelitis or abscess formation.2. The soft tissue edema extends cranially beyond the field of view of this exam. The soft tissue ulceration seen on the prior radiographs is not included in the field of view, and re-attempt at tibia/fibula imaging is recommended when clinically feasible. 