75-year-old female with sacral decubitus and foul-smelling. Evaluate for osteomyelitis. Exam is severely limited by motion degradation. There is soft tissue thickening overlying the sacral region without large erosive lesion evident within the limits of motion degradation.The vertebral column alignment is within normal limits. The lumbar vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. Within the lower lumbar spine there is a small disc bulges involving the L4-5 level and L5-S1 levels. There is mild to at most moderate facet arthropathy extending from L3-4 to L5-S1 but there is no significant spinal canal stenosis or neuroforaminal narrowing. The visualized distal spinal cord displays normal signal and morphology.
1.Severely motion degraded exam without gadolinium. No large osseous lesion is appreciated to indicate osteomyelitis within the limitations of the study. There is soft tissue thickening involving the sacral soft tissues. Suggest repeat examination with sedation or CT.2.Mild degenerative changes involving the lower lumbar spine without significant neural foraminal narrowing or spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.