Female 63 years old Reason: evaluate for osteomyelitis History: necrotic 1st toe with draining ulcer There is increased STIR signal in the distal tuft of the great toe with corresponding confluent low T1 signal consistent with osteomyelitis. There is no enhancing fluid collection to suggest abscess. There is increased STIR signal in the adjacent soft tissues consistent with edema. There is also edema type signal in the soft tissues about the metatarsals.
Findings compatible with osteomyelitis involving the distal tuft of the great toe.