Female 73 years old Reason: osteomyelitis? History: sacral decubitus ulcer with stool The bones appear demineralized. Evaluation of the lower sacrum and coccyx is limited on the AP view due to overlying stool. There is ulceration of the soft tissue which appears to extend to the coccyx. We see no definite osteolysis. If there is strong clinical concern for osteomyelitis MRI may be considered.Degenerative disc disease of the lower lumbar spine.
Limited study showing soft tissue ulceration and gas density extending to the coccyx. We see no gross bone destruction. If there strong clinical concern for osteomyelitis, MRI may be considered.