Reason: Soft tissue mass fifth digit left foot History: left foot pain Severely limited examination secondary to extensive patient motion artifact. The examination was terminated early due to the patient's inability to further tolerate the examination per the technologist note. A skin marker was placed over the dorsal aspect of the proximal phalanx of the fifth digit of the left foot. Note is made of multiple foci of decreased signal abnormality along the dorsal and lateral aspect of the proximal phalanx of the fifth digit of the left foot which correspond to the foci of calcification seen on recent radiographs. There is also diffuse bone marrow signal abnormality within the proximal phalanx of the fifth digit and head of the fifth metatarsal which is nonspecific. There is fluid within the fifth MTP joint indicating a mild synovitis. No definite erosions are identified. There is a small amount of fluid within the first MTP joint. There is deformity of the proximal phalanx of the fourth toe likely reflecting prior remote trauma.
Limited examination demonstrating nonspecific bone marrow signal abnormality within the fifth metatarsal head and proximal phalanx of the fifth digit with foci of calcification in the overlying soft tissues. These findings are incompletely characterized and nonspecific but may represent the sequela of gouty arthropathy, avascular necrosis, prior trauma, or infection/osteomyelitis.