64-year-old male with history of TB infection now with superficial infection, rule out fracture or osteomyelitis. Known mycobacterium chelonae infection. History of diffuse large B-cell lymphoma status post MUD stem cell transplant. There is cortical disruption and periosteal reaction along the ulnar aspect of the distal ulna with small lucencies and a permeative appearance extending to the mid diaphysis, suspicious for osteomyelitis and in a similar distribution as the prior MRI. Swelling is seen in the soft tissues along the dorsal and ulnar aspect of the distal forearm. No definite radiographic evidence of osteomyelitis in the carpals or metacarpals to correspond to findings on MRI. No acute fractures are evident.
Osteomyelitis of the distal ulna. No fracture is evident.