83-year-old female with history of foot ulcers and bacteremia, please rule out osteomyelitis. Large amounts of soft tissue signal abnormality, compatible with edema of the right lower extremity, more severe posteriorly, though all compartments of the leg are involved. Fascial planes appear intact without gross displacement to suggest a compartment syndrome. No fluid collections are visualized.Cutaneous defect with underlying edema is visualized just lateral to the distal fibular diaphysis and is compatible with history of known ulcer. However, underlying bone cortex appears intact without evidence of significant signal change within the marrow. There is severe atrophy of the right lower extremity musculature, compatible with disuse. Further, demineralization compatible with osteopenia/osteoporosis is also demonstrated.
1. Diffuse soft tissue edema without evidence of osteomyelitis or cortical destruction as specifically outlined above.2. Diffuse muscular atrophy and demineralization compatible with chronic disuse.