62 year-old female status post second toe osteotomy with screw fixation Extensive metallic artifact within the proximal phalanx of the great toe as well as in the proximal phalanx of the second toe, limits evaluation and likely represents prior screw placement and second toe fixation. There is marked increased T2 and decreased T1 signal within the distal aspect of the second metatarsal, as well as extending within the proximal phalanx of the second digit. Similar signal abnormality is also present within the phalanges of the toe. There is also edema along the fascia and dorsum of the foot.
Postoperative changes with abnormal marrow signal within the distal metatarsal and proximal phalanx of the second toe and phalanges of the great toe, as described above. These findings are nonspecific, and we recommend correlation with radiographs of the foot. The differential includes postoperative changes, occult fracture, infection or trauma.