6-year-old male with history of osteomyelitis status post antibiotics for 7 weeks. Again demonstrated are surgical changes relating to previous debridement of the first phalanx involving the distal metatarsal. Foci of susceptibility artifact indicate postsurgical calcification/blood product. There remains decreased T1 signal in the distal most aspect of the lateral portion of the remaining portions of the first metatarsal with associated T2 signal abnormality and overlying soft tissue ulceration/sinus tract. These findings are compatible with osteomyelitis. Further, there is additional minimally increased signal in the heads of the second and third metatarsals, likely reactive edema and unchanged from prior examination. There is no osteolysis of the second or third metatarsals.The diffuse soft tissue edema, particularly about the plantar musculature and retinaculum is not significantly changed in comparison to prior examination.
Not significantly changed findings related to osteomyelitis of the distal aspect of the first metatarsal.