Left foot ulcer There is no abnormal marrow signal to suggest osteomyelitis. There is subluxation of the interphalangeal joint of the first phalanx with absence of the distal portion of the proximal phalanx which appears chronic in nature and may be the result of prior gout or infection. A nondisplaced fracture of the head of the third metatarsal tarsal is also noted. There is increased signal within the head of the fifth metatarsal seen on the coronal PD fat sat images however on STIR sequences, the marrow signal within the fifth metatarsal head is normal suggesting this may be the result of poor fat saturation.There is diffuse subcutaneous edema with more focal areas of soft tissue irregularity along the plantar aspect of the foot at the level of the tarsometatarsal articulations. There is no focal fluid collection. Diffuse atrophy of the plantar musculature is noted.
1. No evidence of osteomyelitis. Chronic changes involving the first and third metatarsals are further described above.2. Diffuse subcutaneous edema and soft tissue/skin irregularity but without focal fluid collection.