66 year-old female with left foot ulcer concerning for osteomyelitis TENDONS: The extensor and flexor tendons are intact.LIGAMENTS: The lateral collateral ligaments and deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is chronic appearing periosteal reaction about the distal fibula without marrow changes or edema to indicate acute osteomyelitis. There are subchondral cysts, osteophytes and extensive edema involving the midfoot articulations consistent with osteoarthritis and changes likely related to the patient's diabetes.ADDITIONAL
Soft tissue thickening and chronic periosteal reaction about the distal fibula without evidence of osteomyelitis.