43-year-old male with mucormycosis fungal infection, assess depth and character of left abscess over scapula There is increased T2 signal and decreased T1 signal with enhancement of the body and inferior angle of the scapula suggestive of osteomyelitis. There is a thin rim of surrounding fluid measuring approximately 1 cm in width with peripheral enhancement which likely represents an abscess. Extensive edema and enhancement is seen within the surrounding soft tissues inferiorly, involving the adjacent latissimus dorsi which likely represents extension of infection. The lesion does not appear to extend within the chest wall, however there is focal T2 signal within the left third rib which corresponds to a hypermetabolic focus on PET of the same day that appears separate from the scapular process.There is additional enhancement and increased T2 signal involving the glenoid and proximal humerus which also likely represents osteomyelitis.A large loculated left pleural effusion with consolidation and multifocal opacities is seen within the lungs.
1.Osteomyelitis of the scapula with surrounding abscess. No extension into the chest wall is evident.2.Enhancement and edema of the left glenoid and proximal humerus also likely represents osteomyelitis.