Edema, open wound, nonhealing LLE. Assess for "osteo", fluid collection Bandage material overlies the lower leg. There is swelling and ulceration of the anterior soft tissues. There is chronic appearing periosteal reaction along the tibial and fibular diaphyses that is new when compared with the prior radiograph study, although likely corresponds to the chronic periosteal reaction seen on the more recent CT and MRI examinations. This may reflect chronic osteomyelitis, but I see no frank osteolysis to confirm acute osteomyelitis at this time. I see no gas density within the deep soft tissues. Severe osteoarthritis affects the knee.
Soft tissue swelling and ulceration as described above. Chronic tibial and fibular periosteal reaction may reflect chronic osteomyelitis, but I see no frank osteolysis to confirm acute osteomyelitis. If further imaging evaluation is clinically warranted, MRI may be considered.