67-year-old male patient with infected left foot ulcer. Evaluate osteomyelitis. There is feathery low T1 and increased T2 signal within the posterior aspect of the calcaneus which is highly suspicious for osteomyelitis. No definite enhancement is identified within the bone on post-contrast imaging. There is a defect within the overlying soft tissues of the heel with edema type signal within the surrounding soft tissues. No discrete drainable fluid collection is identified.Degenerative changes otherwise affect the midfoot and tibiotalar joint. The Achilles tendon appears thickened suggesting tendinosis. The remaining tendinous and ligamentous structures are grossly intact.
1. Findings highly suspicious for osteomyelitis of the posterior calcaneus. 2. Achilles tendinopathy.