Cellulitis of the left foot with hematoma lateral to fifth metatarsal. Evaluate for osteomyelitis of the remaining portion of the fifth metatarsal. As seen previously, patient has undergone amputations through the proximal phalanges of the first and second toes as well as the fifth metatarsal. These postoperative changes appear similar to that seen on the prior study, without radiographic features of osteomyelitis.Since the prior study, the patient has undergone further resection of the third and fourth metatarsals. The osteotomy margin of the fourth metatarsal is slightly irregular, but we see no definite radiographic features of osteomyelitis. A soft tissue defect however is noted distal to the fourth metatarsal. If further imaging is clinically warranted, MRI may be considered.
Postoperative changes related to amputation of the first through fifth rays, as described above, with no specific radiographic features of osteomyelitis. If further imaging is clinically warranted, MRI may be considered.