Soft tissue infection Evaluation is limited by motion artifact and by the patient prematurely terminating the exam resulting in a lack of contrast administration. Also note that the small toe is not entirely included on sagittal sequences.There is subcutaneous edema particularly along the dorsum of the foot. Additional signal intensity along the dorsum of the foot and base of the second toe may represent overlying bandage material. Although the subcutaneous edema becomes confluent, there is no focal fluid collection to suggest abscess.There is abnormal signal intensity within the proximal phalanx of the fifth toe with relative sparing of its base but there is no definite adjacent soft tissue ulceration. This is nonspecific in nature but it is possible this could represent a nondisplaced fracture. The signal intensity of the remaining phalanges and metatarsals is normal. There is replacement of the subcutaneous fat along the inferolateral margin of the calcaneus posteriorly with signal intensity extending to the bone; however there is no convincing evidence of underlying osteomyelitis at this time.There appears to be a pes planovalgus deformity with osteoarthritis affecting the midfoot.
Significantly limited exam demonstrates soft tissue swelling and ulceration. There is abnormal signal intensity within the proximal phalanx of the fifth toe which is nonspecific and not well characterized on this exam. It is possible this represents a nondisplaced fracture as we see no adjacent ulceration to confirm osteomyelitis. Dedicated 3 view radiographs of the left fifth toe are recommended for further evaluation.