55-year-old female with ulcer along foot, evaluate for osteomyelitis Extensive soft tissue swelling about the ankle and midfoot. TENDONS: The extensor and flexor tendons are grossly intact with extensive edema in the surrounding soft tissues.LIGAMENTS: The ATFL is grossly intact.ARTICULAR SURFACES AND BONE: There is marked edema within the anterior aspect of the talus and dorsal displacement of the navicular relative to the talus with abnormal T1 hypointense and T2 bright bone marrow signal in the navicular and cuneiform bones. Multifocal bone marrow edema is noted throughout the mid foot without discrete fracture line or erosion.ADDITIONAL
Extensive soft tissue swelling, multifocal bone marrow edema and talonavicular dislocation as described above more likely representing neuropathic joint, although infection cannot be excluded.