Reason: evaluate for abscess of ulcers, has drainage History: bacteremia In the mid right buttock area, open wound containing packing material is noted which sonographically appears as a heterogenous focal area measuring 6.4 x 2.3 x 3.8 cm.Inferior to the left buttock area, the dimple like wound with discharge is noted. Sonographically, it appears as a focal hypoechoic area with heterogenous echotexture and echogenic foci suggestive of phlegmon and gas bubbles, measuring 4.4 x 2.9 x 2.6 cm. Small amount of blood flow was seen with color Doppler.
A focal hypoechoic area with heterogenous echotexture and echogenic foci suggestive of phlegmon and gas bubbles inferior to left buttocks, An abscess cannot be ruled out in this area and further evaluation with CT or MRI is suggested if clinically indicated.