Reason: MRI of right calcaneus to assess for brodie abscess- correlate with prior MRI and XR. Focal signal abnormality extending from the apophysis to the right calcaneus, best visualized on image 9 of series 9, demonstrating mild enhancement representing osteomyelitis. The more focal area of signal loss more inferiorly within this area seen on the same image is compatible with a sequestrum, new as compared to the prior MRI from 10/14/2016. No additional osteolytic lesions are noted within the ankle and calcaneus.
Signal abnormality extending from the apophysis to the posterior inferior calcaneus with adjacent osteolytic changes, demonstrating mild enhancement representing osteomyelitis with a sequestrum. These findings are new from prior exam and were discussed with Dr. Bielski at 5:00 PM on 11/8/2016.