Ulcers, leukocytosis Note that the examination is significantly limited secondary to the patient prematurely terminating the study resulting in incomplete sequences, motion artifact, and a lack of gadolinium administration.Left: There is thickening of the skin of the lower extremity with surface irregularity compatible with cellulitis and ulceration. Reticulation of the subcutaneous fat is noted particularly anteromedially and anterolaterally indicative of edema and soft tissue inflammation. There is diffuse fatty atrophy of the calf musculature and increased signal intensity within the muscles distally may reflect more subacute atrophy or additional inflammation. Within the limits of exam, there is no focal fluid collection to suggest abscess and there is no bone marrow signal abnormality to suggest osteomyelitis. Osteoarthritis affects the left knee and there is a small joint effusion.Right: Note that only coronal T1, coronal STIR, and lower axial T1 images were performed. There is skin thickening and subcutaneous edema suggesting cellulitis similar to the left leg. Again, there is no abnormal signal intensity within the tibia or fibula to confirm osteomyelitis. Osteoarthritis affects the knee.
Significantly limited examination demonstrates features of lower extremity cellulitis without definite osteomyelitis or soft tissue abscess.