66-year-old woman with erythema and swelling of the right third toe. Evaluate for osteomyelitis. There has been amputation of the second toe through the base of the proximal phalanx. There is swelling of the soft tissues of the third toe with osteolysis of the distal phalanx, representing osteomyelitis. The distal phalanx of the fourth toe is absent and only small fragments of the middle phalanx remain. We suspect this is due to prior surgery or longstanding infection. There appears to be a biphalangeal fifth toe with irregularity of the distal margins which is nonspecific, but we cannot exclude the presence of osteomyelitis. Findings of chronic osteomyelitis of the right tibia with overlying wound are noted, as seen on prior MRI studies.
1. Osteomyelitis of the distal phalanx of the third toe. 2. Other findings as described above suggesting additional sites of infection, perhaps chronic. 