Cellulitis Evaluation of the first and fifth digits is limited by the presence of susceptibility artifact from orthopedic pinning.First ray: There is a mild hallux valgus deformity. Orthopedic pinning of the head of the metatarsal is noted. A small cystic collection overlies the dorsal aspect of the head of the metatarsal. Following contrast, there is only mild peripheral enhancement. There is no abnormal signal to suggest osteomyelitis.Second ray: There is no abnormal signal to suggest osteomyelitis.Third ray: There is no abnormal signal to suggest osteomyelitis.Fourth ray: There is no abnormal signal to suggest osteomyelitis.Fifth ray: Orthopedic pinning of the metatarsal head/neck is noted. There is no abnormal signal to suggest osteomyelitis.There is diffuse swelling of the dorsal soft tissues. Following contrast administration, there is no abnormal enhancement or evidence of focal fluid collection.
Subcutaneous edema and surgical changes the foot without evidence of osteomyelitis. Small cystic collection along the head of the first metatarsal may be postsurgical in nature but correlation recommended.