Rule out osteomyelitis. Gas in soft tissues on x-ray. History of diabetes, recurrent ulcer. There is soft tissue edema at the lateral aspect of the base of the fifth metatarsal suggesting inflammation or infection with overlying skin irregularity, compatible with stated history of ulceration. No underlying osseous signal abnormalities to suggest osteomyelitis. Soft tissues and tendons of the foot are otherwise unremarkable. Moderate osteoarthritis affects the midfoot.
Ulceration and edema suggestive of soft tissue inflammation or infection without evidence of osteomyelitis.