Osteomyelitis of the pubic symphysis. Evaluate for pelvic abscess. Extensive pelvic wall edema. Dependent body wall edema. Extensive edema signal of the adductor musculature bilaterally. Osteomyelitis affects the body of the pubic symphysis with extensive reactive osteitis extending along the pubic rami and inferiorly. There is air in the pubic symphysis and extending just superior to the pubic symphysis. This communicates with the fluid collection in the medial proximal aspect of the right thigh, better characterized on the dedicated MRI of the femur. There is extensive adjacent inflammatory/phlegmonous soft tissue changes about the pubic symphysis. The bladder is presumably collapsed and is not well seen. Involvement with the bladder cannot be excluded.No loculated drainable fluid collection is evident within the pelvis. Bilateral hip prostheses.
No loculated drainable fluid collection is evident in the pelvis. See the dedicated MRI of the femur report. Acute on chronic pubic symphysis osteomyelitis and inflammatory/phlegmonous soft tissue changes about the pubic symphysis, involvement with a collapsed non-visualized bladder cannot be excluded. 