Male 38 years old Reason: concern for osteomyelitis History: purulent drainage from left foot, hx of mid-left foot amputation Postsurgical changes of an amputation through the second third and fourth proximal metatarsals as well as apparent complete amputation of the first and fifth rays. Low T1 signal with corresponding T2 hyperintensity at the osteotomy sites of the remaining metatarsals is most consistent with osteomyelitis. Significant subcutaneous soft tissue edema is present throughout the remaining foot. There is also some marrow edema within the cuboid and calcaneus without corresponding low T1 signal. This likely represents reactive marrow edema. Small tibiotalar joint effusion is present. Remaining tendons appear intact.
Findings most consistent with osteomyelitis of the osteotomy margins of the remaining metatarsals and other findings as above. 