Reason: eval for osteo History: possible osteo of left ileus on prior MRI, fevers Soft tissue irregularity along the posterior aspect of the left iliac bone consistent with ulceration which extends to the level of the posterior cortex of the left iliac bone. There is associated skin thickening in the surrounding area. There is also associated increased signal abnormality and fluid sensitive sequences as well as decreased signal abnormality on T1-weighted images and cortical indistinctness affecting the left iliac bone about the posterior aspect of the left sacroiliac joint, indicating osteomyelitis. There is marked fatty atrophy of the imaged musculature of the pelvis. There is a large cyst projecting along the inferior pole of the right kidney, which appears atrophic, although this is incompletely imaged on this examination. There is a Foley catheter in place. There is nonspecific increased signal abnormality within the adductor musculature of the pelvis bilaterally. No drainable fluid collection is identified. Note is made of multiple dilated loops of small bowel which are nonspecific but may reflect small bowel obstruction or ileus in the correct clinical setting. Note is made of compression fractures of the L3 and L5 vertebral bodies.
1. Findings consistent with osteomyelitis of the left iliac bone. There is soft tissue ulceration and inflammatory change in the surrounding area.2. Multiple dilated loops of small bowel are incompletely imaged. Obstruction or ileus could be considered in the correct clinical setting. Other findings as described.