Patient has right hip ulcer. X-ray shows degenerative changes, recommended MRI for better evaluation. Esophageal cancer. There is a soft tissue ulcer that extends through the posterolateral subcutaneous fat of the right upper thigh to the iliotibial band at the level of the greater trochanter. A small amount of fluid and enhancement is seen immediately deep to the iliotibial band and superficial to the trochanter, but I see no signal abnormality within the marrow of the trochanter itself to indicate osteomyelitis. A small amount of edema is seen within the posterolateral fibers of the vastus lateralis muscle proximally at its origin. Chronic-appearing enthesopathic spurs are noted projecting from the greater trochanter. I see no focal lesions to suggest metastatic disease to the bones of the hip. Mild osteoarthritis affects the right hip joint. I see no joint effusion or synovitis. Mild osteoarthritis also affects the left hip as seen on the large field-of-view images. Degenerative disc disease affects the visualized lower lumbar spine. The sacroiliac joints are within normal limits for age. There is mild reticulation of the subcutaneous fat posteriorly perhaps reflecting mild edema, nonspecific. The remaining visualized soft tissues are unremarkable.
Soft tissue ulcer without evidence of osteomyelitis.