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Fig. 3C. 27-year-old man with paraplegia who presented with large
chronic heel ulcer and clinically suspected calcaneal osteomyelitis. Sagittal
T1-weighted fat-suppressed contrast-enhanced fast multiplanar spoiled
gradient-recalled MR image (250/2.1; flip angle, 90°) reveals extensive
contrast enhancement (arrowheads) in calcaneus, confirming
osteomyelitis. Marked contrast enhancement (arrow) in distal Achilles
tendon is compatible with focal infection of Achilles tendon. Contrast
enhancement in navicular bone and talus may reflect neuropathic arthropathy in
Chopart's joint. Focal contrast enhancement in distal tibia around pin tract
from previously removed distraction device is also visible.
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