Toe ulcer The examination is limited by motion artifact.There is abnormal signal intensity within the distal phalanx of the great toe, particularly within the tuft, compatible with osteomyelitis. There is ulceration of the skin dorsal to the distal phalanx. The proximal phalanx and first metatarsal demonstrate normal marrow signal. The second ray is unremarkable.A bandlike focus of abnormal signal intensity traverses the middle and proximal phalanges of the third toe representing nondisplaced fractures. Edema within the distal phalanx of the third toe may represent an additional nondisplaced fracture.The fourth ray is unremarkable.Bandlike signal abnormality noted within the neck of the proximal phalanx of the fifth toe represents a nondisplaced fracture.The metatarsals demonstrate normal marrow signal. There is mild diffuse soft tissue edema of the foot.
Limited exam demonstrates osteomyelitis of the distal phalanx of the great toe with multiple phalangeal fractures as detailed above.