Male 57 years old Reason: Assess for presence of osteomyelitis secondary to interdigital wounds on right foot/toes History: Right foot interdigital wounds, pain, swelling, erythema There is a thin concentric collection of nonenhancing fluid in the subcutaneous fat lateral to the interphalangeal joint of the great toe which presumably represents an interdigital wound, perhaps with a thin subcutaneous draining abscess. Small rounded foci of signal abnormality in the head of the proximal phalanx of the great toe likely represent cysts or perhaps chronic erosions but we see no edema to suggest osteomyelitis.There are additional foci of nonenhancing fluid signal intensity in the web spaces between the first and second toes and third and fourth toes representing interdigital wounds with extension into the underlying soft tissues. Enhancement of the surrounding soft tissues indicates inflammation but there is no marrow signal abnormality to indicate osteomyelitis. There is additional soft tissue edema along the dorsum of foot.
Interdigital wounds with soft tissue extension as described above but no evidence of osteomyelitis.