Reason: patient with b/l knee ulcerations and zygomycetes infection. Eval for extension of infection History: above There are multiple ulcerations including one situated anterior to the proximal tibia that extends deep to disrupt the superficial fibers of the distal patellar tendon, however, we see no findings to suggest patellar tendon rupture. There is also signal abnormality within the subcutaneous fat anterior to the patella likely representing additional ulceration with enhancement of the underlying soft tissues. Although there is perhaps mild edema within the underlying patella, we suspect this may reflect reactive osteitis and we see no frank bone destruction to confirm osteomyelitis. There is edema within the subcutaneous fat that becomes confluent, but we see no well-defined drainable fluid collection. There is a small joint effusion, but we see no findings to suggest a synovitis. The medial and lateral meniscus appear intact. The cruciate and collateral ligaments appear intact. The quadriceps tendon appears intact.
Anterior soft tissue ulceration with focal disruption of the superficial fibers of the distal patellar tendon and other findings as described above.