Foreign body (chronic)
Laceration right posterior calf, exclude foreign body.
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There is a nail through the midshaft of the tibia with surrounding sclerotic appearing bone. Surrounding bony osteophytosis and remodelling is noted along the tibia and to a lesser extent the fibula, suggesting it is chronic in appearance.
The soft tissue laceration on the posterior calf is noted with no associated foreign body.
Upon consulting the patient, there was no recollection in his 55 years that would account for a nail related injury, the nail was not removed however follow up imaging was recommended.
A metallic foreign body would, however, be a contraindication for MRI.