Reason: Eval for osteo, abscess History: pain There is significant soft tissue swelling about the foot, particularly surrounding the first and fifth toes. Foci of gas are seen in the subcutaneous tissues surrounding the great toe. There is no discrete fluid collection. Marked cortical destruction of the head of the proximal phalanx and amputation margin of the distal phalanx of the great toe with low T1 signal abnormality and corresponding high T2 signal abnormality is consistent with osteomyelitis. Similar but less pronounced findings are seen within the proximal phalanx of the fifth toe, likely reflecting an additional focus of osteomyelitis.
Osteomyelitis of the first and fifth metatarsals as above.