Reason: Evaluate for osteomyelitis 1st MTH right foot History: Ulcer sub 1st MTH right foot with increase in size and edema There is diffuse soft tissue swelling about the ankle and foot, predominantly about the first metatarsal. There has been interval amputation through the distal diaphysis of the third metatarsal. Deformity of the distal ray of the fourth metatarsal is consistent with prior surgery. Former deformity of the second metacarpal is consistent with a prior healed fracture. Medial subluxation of the proximal phalanx of the fifth toe appears new since the prior study. There is deformity and bony hypertrophy of the first metatarsal head, however we see no frank osteolysis to confirm osteomyelitis. If there is clinical concern for osteomyelitis, MRI may be considered.
Diffuse soft tissue swelling about the first metatarsal without frank osteolysis to confirm osteomyelitis. If there is clinical concern for osteomyelitis, MRI may be considered.