Foot ulcer First ray: There is skin irregularity overlying the tuft of the great toe. Additionally, there is deformity and irregularity of the distal tuft of the great toe however there is no definite focus of abnormal low T1 signal to suggest osteomyelitis. The appearance may be secondary to prior/chronic infection or trauma.Second ray: There is deformity of the head of the second metatarsal with absence of portions of the proximal and middle phalanges. There is no definite evidence of osteomyelitis. Third ray: There is soft tissue ulceration, thickening, and edema within the plantar soft tissues at the head of the third metatarsal. However there is no definite evidence of osteomyelitis as there is no discrete focus of low T1 signal intensity.Fourth ray: The marrow signal of the fourth metatarsal is normal although there is periosteal reaction along the plantar aspect of the distal diaphysis of the metatarsal.Fifth ray: No evidence of osteomyelitis.There is diffuse soft tissue swelling of the dorsal foot. Within the limits of this exam, there is no discrete fluid collection or foci of soft tissue gas.
No definite evidence of osteomyelitis but close follow-up is recommended. 