Reason: large sacral wound; eval for signs of osteomyelitis History: see above Note is made of soft tissue irregularity along the posterior aspect of the distal sacral segments and coccyx consistent with stated history of ulceration. Gas density extends to the level of the posterior aspect of the fourth sacral segment and coccyx. There is apparent cortical irregularity of the posterior margin of the coccyx suspicious for osteomyelitis. This could be confirmed with MRI if clinically warranted.
Findings suggestive of osteomyelitis of the coccyx. These findings could be further evaluated with MRI if clinically warranted. 