Cellulitis, gangrenous right lower extremity. Question of osteomyelitis. There is mild thickening of the skin of the anterior aspect of the lower leg and ankle with nonenhancing edema of the underlying subcutaneous fat. There is also mild edema and enhancement between the peroneal musculature and lateral aspect of the soleus muscle extending to the fibular cortex. However, we see no rim enhancing fluid collection to suggest abscess or bone marrow abnormality to suggest osteomyelitis. A small collection of fat within the distal gastrocnemius muscle may represent focal atrophy or a lipoma.
Mild soft tissue inflammation without evidence of osteomyelitis.