Reason: osteo? History: foot pain, h/o osteo, dm, stepped on glass Right foot: Increased erosion and deformity of the head of the first metatarsal and the base of the proximal phalanx of the great toe compatible with progression of osteomyelitis. There is adjacent soft tissue swelling and hallux valgus deformity. Second toe is amputated. Mild deformity of the second metatarsal head appears similar to prior study, and we see no progression of osteomyelitis at this location.Left foot: Laceration at the ball of the foot, but we see no underlying radiopaque foreign body. There is mild soft tissue swelling without evidence of osteomyelitis.
Increased erosion and deformity of the right first metatarsal head and base of the proximal phalanx compared to prior study, indicating progression of osteomyelitis.