Persistent pain following animal bite There is abnormal low T1 signal, high T2 signal, and enhancement within the base of the distal phalanx of the index finger consistent with osteomyelitis and edema within the adjacent medullary space. Abnormal signal intensity and enhancement are also noted within the head, neck, and diaphysis of the middle phalanx likely reflecting extension of infection. There is edema, swelling, and enhancement of the soft tissues indicating inflammation with a small tract within the dorsal soft tissues likely reflecting the puncture wound. The terminal extensor tendon is not well-visualized and may be detached from its insertion upon the distal phalanx. There is volar translation of the distal phalanx and a mild flexion deformity.
Osteomyelitis of the distal and middle phalanges of the index finger with other findings as above. These findings were communicated to the ordering physician Dr. M. David at the time of interpretation.