T1 post contrast axial images (A, B, TE/TR = 12ms/582ms) in a 66 year-old man status post total knee arthroplasty demonstrate soft tissue fluid collection extending to the underlying bone (A, black arrowhead) which also communicates with the skin surface via a sinus tract (B, black arrowhead). Axial FSE image (C, TE/TR=30ms/6015ms) demonstrates severe inflammatory synovitis with a hyperintense lamellated appearance (white arrowheads), consistent with infection.