57-year-old female, rule out osteomyelitis Evaluation is slightly limited due to motion artifact.There is ulceration of the soft tissues dorsal to the second through fourth metatarsals as seen on recent radiographs. Patchy foci of high signal intensity within the first through fourth metatarsals is nonspecific and could reflect reactive osteitis or simply sequelae of demineralization as we see no focal cortical defects or confluent abnormal signal on T1 weighted sequences to confirm osteomyelitis. There are similar patchy foci of abnormal signal intensity in the visualized bones of the midfoot and scattered phalangeal bones. Mild osteoarthritis affects the first MTP joint. Abnormal signal intensity with the head of the proximal phalanx of the first toe probably represents an old healed fracture.Increased signal intensity within the plantar musculature of the foot and adjacent subcutaneous fat likely represents a combination of atrophy and edema. Fluid signal within the dorsal lateral aspect of the second toe likely represents a blister. A small focus of enhancement along the medial aspect of the soft tissues of the second toe may represent inflammation. There is no additional abnormal enhancement.
Soft tissue ulcer and other findings as described above without specific features of osteomyelitis. 