ULTRASOUND SIGNS OF FISTULA, OSTEOMYELITIS
Female, born in 1948, underwent ultrasound examination of the lower third of the left leg.
On the inner side of the lower third of the left leg on the skin’s surface, a lesion was seen with a diameter of about 7 mm (from her medical history it is known that the patient had a fracture in this area and an operation about 3 years ago). Body temperature is 39-39.5°C.
Ultrasound examination showed a lesion on the medial surface of the tibia with dimensions of 16.3x12.2x21.4 mm. Power Doppler showed increased blood flow in this area surrounded by tissue swelling, which is a sign of inflammation. When compressing the soft tissues with the probe, there is clear motion of an inhomogeneous fluid with hyperechoic inclusions (dense pus) in the area of the bone lesion.
Conclusion: ultrasound signs of fistula, osteomyelitis;
Recommended: referral to orthopedic surgeon and X-ray examination.
PHOTO №1 longitudinal scan, medial surface of the tibia