Reason: R second toe ulcer, r/o osteomyelitis History: R second toe ulcer There is soft tissue irregularity along the distal aspect of the second toe indicating ulceration which extends to the level of the remnant of the middle phalanx of the second toe. There is apparent cortical indistinctness/osteolysis about the distal aspect of the remnant of the middle phalanx of the second toe indicating osteomyelitis. This could be further evaluated with MRI if clinically warranted. There are extensive arterial calcifications in the overlying soft tissues. Osteoarthritis affects the midfoot articulations. The bones appear demineralized. Periosteal reaction along the lateral aspect of the fourth metatarsal is nonspecific but may represent stress reaction.
Findings indicating osteomyelitis of the remnant of the middle phalanx of the second toe. This could be further evaluated with MRI examination if clinically warranted.