Female 44 years old; Reason: evaluate for sacral osteo History: sacral decubitus ulcers, infected, deep to bone BONE MARROW: Abnormal T1 and T2 prolongation involving the left ischium compatible with osteomyelitis which is slightly increased from prior. There is also cortical irregularity in the area. There is gas and fluid that extends up to the cortical surface.There is a new deep ulcer involving the right ischium with mild edematous changes in the right ischium without definite T1 changes or definite cortical erosion.SOFT TISSUES: Severe body wall anasarca. Deep ulcers adjacent to the ischium bilaterally (left larger than right). Perirectal soft tissue edema and possible ulcer.Percutaneous bladder catheter. There is severe muscle atrophy of the gluteal muscles. There is severe body wall anasarcaJOINTS: Bilateral chronic hip dysplastic changes with osteoarthritis.ADDITIONAL
Findings compatible with osteomyelitis of the left ischium with marrow changes.New right deep ulcer with marrow edema of the ischium but no T1 changes overall findings are suggestive of reactive osteitis.