Female 63 years old Reason: evaluate sacral osteomyelitis History: sacral wound Large soft tissue defect in the left posterior pelvis with tract extending to the left ischium appearing similar to prior exam. Confluent low T1 signal involving the left ischium and left inferior acetabulum compatible with osteomyelitis. There is increased T2 signal and enhancement on postcontrast images throughout the adjacent soft tissues, similar in distribution compared to prior exam, representing soft tissue inflammation. Diffuse atrophy throughout the visualized musculature.
Decubitus ulceration with adjacent soft tissue inflammation and findings compatible with chronic osteomyelitis, which appears similar to prior examination.