Reason: Please follow-up on the fluid collection seen on prior MRI of tib/fib. Please schedule for before or on 10/19/16 if possible History: S/p Symes amputation of the R foot, admitted for cellulitis, and fluid collection suspicious for abscess Again seen are postsurgical changes following resection of the distal tibia and fibula consistent with history of Symes amputation. There is loss of the cortex of the distal tibia just above the resection margin with increased T2 signal intensity, highly suspicious for osteomyelitis. There is a persistent fluid collection abutting the bone with areas of low T1 and T2 signal intensity consistent with scarring. Compared to the prior MRI dated 9/27/2016, there has been no significant interval change in size of the fluid collection.There is diffuse increased T2 signal intensity throughout the soft tissues, consistent with intramuscular and subcutaneous edema. The remainder of the tibia and fibula appear unremarkable.
1. Persistent fluid collection abutting the bone with areas of scarring, remaining concerning for abscess.2. Findings highly suspicious for osteomyelitis of the distal tibia.