Female, 90 years old. Evaluate for osteomyelitis of the left 3rd toe. Chronic draining left 3rd toe ulcer (present over 1 month) with increasing pain and drainage. Plain x-rays do not show osteomyelitis. Examination of suboptimal due to motion artifact on several sequences.There is mild soft tissue swelling particularly about the dorsum of the foot. There is no abnormal signal within the bone marrow. No bone marrow edema. There is no enhancement on postcontrast imaging. No evidence of abscess. Metallic blooming artifact is present along the osteotomies of the first and second toes. Redemonstrated are ostomies of the first and second digits at the proximal phalanges present since 2012. Arthroplasties of the third and fourth toes are also noted. Moderate osteoarthritis affects the first metatarsophalangeal joint.
No evidence of osteomyelitis.