74-year-old female with soft tissue swelling of the bilateral medial tibia/fibula. Right tibia/fibula: Bone marrow appears within normal limits. The bony cortex is intact throughout the extent of examination. Soft tissues appear within normal limits. There is no specific evidence of soft tissue inflammatory change medially within the imaged lower extremity. There is minimal muscular atrophy, compatible with patient's stated age. There is severe osteoarthritis of the right knee, including bone-on-bone apposition of the medial compartment with associated subchondral sclerosis and cystic change. There is incompletely evaluated desiccation of the menisci and articular surfaces that may be better evaluated with dedicated knee imaging, if clinically warranted. Moderate osteoarthritis also affects the ankle joint.Left tibia/fibula: Bone marrow appears within normal limits. The bony cortex is intact throughout the extent of examination. Soft tissues appear within normal limits. There is no specific evidence of soft tissue inflammatory change medially within the imaged lower extremity. There is minimal muscular atrophy, compatible with patient's stated age. There is severe osteoarthritis of the left knee, though less prominent than the right, including bone-on-bone apposition of the medial compartment with associated subchondral sclerosis and cystic change. There is incompletely evaluated desiccation of the menisci and articular surfaces that may be better evaluated on dedicated knee imaging, if clinically warranted. Moderate osteoarthritis also affects the ankle joint.
1. Severe right greater than left osteoarthritis as outlined above.2. No specific findings of medial soft tissue swelling or underlying pathology.