Osteomyelitis There are surgical changes relating to debridement of the first phalanx to the level of the distal metatarsal with foci of susceptibility artifact within the surgical bed. There is decreased T1 signal of the distal most aspect of the remaining first metatarsal with associated increased T2 signal consistent with osteomyelitis. There is additional increased signal in the heads of the second and third metatarsals however there is no associated T1 abnormality to suggest osseous. Similar reactive edema is noted within the midfoot.There is diffuse soft tissue edema particularly of the plantar musculature but also of the soft tissues of the first ray. A mild amount of retrocalcaneal fluid is noted.
Osteomyelitis of the distalmost aspect of the remaining first metatarsal. Additional findings are described above.