Rule-out osteomyelitis. Lower extremity wounds Interval decreased bilateral subcutaneous emphysema and swelling observed in 2013 with overall mild interval decrease in soft tissue mass. Mild to moderate diffuse soft tissue subcutaneous swelling with questionable shallow ulceration observed in the lower aspects along the anterior aspect (overlying gauze); however no discrete focal abnormalities or deep ulceration extending to the deep compartments or osseous structures. Specifically no bone marrow signal abnormality or cortical distraction to suggest osteomyelitis bilaterally.Persistent diffuse muscle atrophy without evidence of loculated fluid. Limited visualization of the distal ankles or proximal knees.
Mild to moderate diffuse subcutaneous soft tissue changes with interval decreased diffuse edema and suspected shallow ulcerations observed. These changes however do not extend into the deep compartments are involved the osseous structures. No evidence of osteomyelitis or abscess.