Elevated white count with sacral ulcers. Sepsis. Check for osteomyelitis. Exam limited given patient pain and motion, preventing completion of the study.Induration and inflammation of the overlying sacral soft tissues is evident, however other than very shallow ulceration, no deep soft tissue defects are observed. No findings to suggest an abscess or abnormal fluid collection. Mild abnormal signal throughout markedly atrophic gluteal muscles, mildly more extensive and asymmetric involving the left gluteal. Specifically the ischium bilaterally and coccyx are observed in grossly intact with normal signal pattern for the sequences obtained.The underlying osseous structures are grossly intact without discrete abnormal suspicious signal on either the T1 or T2 images providedVisualized portions of the lower pelvis and surrounding upper thighs are unremarkable other than atrophy and similar mild diffuse edema-like changes, again without discrete focal fluid collections or evidence of an abscess. No lymphadenopathy.
Diffuse muscular atrophy and edema without discrete focal evidence of osteomyelitis or superimposed focal infection such as an abscess. Please see limitations described