Question

A 64-year-old man with a plantar ulcer and suspected osteomyelitis (positive probe-to-bone test) needs further evaluation. Which test is recommended to confirm osteomyelitis when plain radiographs are non-diagnostic?

Accepted Answer

MRI of the foot

Answer

Tagged WBC scan as first-line

Answer

CT with IV contrast only

Answer

Bone biopsy not needed in any case

Answer

Empiric anti-pseudomonal therapy regardless of severity

Practice question

A 64-year-old man with a plantar ulcer and suspected osteomyelitis (positive probe-to-bone test) needs further evaluation. Which test is recommended to confirm osteomyelitis when plain radiographs are non-diagnostic?