11-year-old male with right leg wound, evaluate for osteomyelitis Increased T2 edema type signal is noted along the lateral compartment of the right tib-fib with fluid signal tracking along the fascial planes. Induration of the skin is present. This involves the anterior tibialis, flexor digitorum longus and flexor hallucis longus muscles and the peroneal brevis and peroneal longus muscles. Mild edema signal extends anteriorly and along the medial aspect of the tibial diaphysis. Mild cortical irregularity is noted along the anterior aspect of the fibula (series 1001, image 24) with mild marrow enhancement, increased T2, and decreased T1 signal suspicious for osteomyelitis.
Findings suspicious for osteomyelitis of the anterior aspect of the fibula with overlying cellulitis as described above. 