80-year-old female with leg pain and elevated ESR/CRP. Patient motion artifact limits examination. There is no bone marrow signal abnormality, sinus tract, or osteolysis to suggest osteomyelitis. There is diffuse fatty atrophy affecting the musculature of the legs bilaterally. There is nonspecific subcutaneous edema most pronounced along the lateral aspect of the right leg as well as along lateral aspect of the left leg. There is associated skin thickening along the medial aspect of the ankles. No encapsulated focal fluid collection is identified to suggest abscess formation. No pathologic enhancement is identified on postcontrast sequences. There are small bilateral knee joint effusions which are incompletely imaged on this examination. Severe degenerative changes affect both knees, left greater than right, as seen on the large field-of-view images.
Nonspecific subcutaneous edema along the lateral aspect of the legs, bilaterally, without evidence of osteomyelitis. No encapsulated fluid collection is identified to suggest abscess formation. Other findings as described above.