Diffuse periosteal reaction due to chronic venous insufficiency
Swollen painful legs, right worse than left. Recent minor fall. Ulcers over lower leg.
Loading Stack -
0 images remaining
Alignment is normal. No fracture. Diffuse smooth undulating periosteal reaction of the fibula and to a lesser extent the tibia. Increased soft tissue density and multiple small calcified foci in the soft tissues. Dressing noted over the lower leg. No signs of osteomyelitis.
This patient had a known and very long history of chronic venous insufficiency. He had a large venous ulcer over the right lateral lower leg with the typical skin changes of venous stasis. His left leg was similar but not as severe.