Sacral decubitus ulcer, evaluate for osteomyelitis Soft tissues: There is also skin irregularity overlying the distal sacrum and coccyx with increased edema and enhancement overlying the area. Small foci of low signal representing gas noted. Following contrast administration, there is no focal fluid collection identified.Osseous structures: There is diffuse heterogeneity of the marrow signal particularly involving the femoral bilaterally. Focal areas of increased marrow signal are seen within the posterior ileum bilaterally as well as the distal sacrum/coccyx. There is diffuse enhancement of the distal sacrum/coccyx. There is no definite bony erosion to suggest osteomyelitis. There are mild osteoarthritic changes in the hips bilaterally.
Diffuse marrow edema and enhancement of the sacrum/coccyx without definite bony erosion to suggest osteomyelitis. Soft tissue defect, enhancement, and foci of air are noted overlying the area however. Additional findings are described above.