56-year-old male with right arm/hand pain and swelling for one week. Evaluate for infection. Severely limited examination secondary to extensive artifact related to technique and patient motion. There is increased signal abnormality within the distal tuft of the second digit likely representing artifact from incomplete fat saturation. There is decreased T1 signal abnormality within the proximal radius without associated increased T2 signal abnormality which likely represents very mild bone marrow reactive change/edema. There is no evidence to suggest osteomyelitis. No additional bone marrow signal abnormality is identified. There is extensive diffuse increased signal abnormality in the soft tissues of the right forearm and wrist consistent with edema/inflammation. Again seen are multiple fluid collections about the wrist. There is about the extensor carpi ulnaris and extensor digiti minimi tendons. There is an additional fluid collection deep to the flexor digitorum tendons, appearing similar to the prior study. However, it should be noted that evaluation for abscess formation is limited due to the patient's inability to receive contrast material.
Multiple focal fluid collections about the wrist which are suspicious for abscess formation with associated extensive soft tissue swelling about the wrist and forearm. 