Reason: osteomyelitis of left foot? History: diabetic foot infection, high CRP Note is made of soft tissue irregularity along the plantar aspect of the distal phalanx of the great toe consistent with the stated history of ulceration. There is increased signal abnormality on fluid sensitive sequences within the subcutaneous tissue along the plantar aspect of the distal phalanx of the great toe indicating a cellulitis. There is extension of this enhancing signal abnormality to the plantar aspect of the distal tuft of the distal phalanx of the great toe. There is associated increased bone marrow signal abnormality on fluid sensitive sequences and decreased signal abnormality on T1-weighted images consistent with osteomyelitis of the tuft of the distal phalanx of the great toe. There is increased signal abnormality in the base of the distal phalanx and proximal phalanx of the great toe without corresponding decreased T1 signal abnormality likely reflecting reactive osteitis rather than osteomyelitis. The first metatarsal bone marrow signal is within normal limits. There is nonspecific increased signal abnormality within the plantar musculature of the foot which can be seen in diabetic patients. There is a small amount of fluid within the first MTP joint which may reflect a synovitis. There is no focal fluid collection to suggest abscess formation.
Findings consistent with osteomyelitis of the distal phalanx of the great toe. Other findings as described. 