Reason: Left foot infection, rule out osteomyelitis or abscess History: left foot swelling, erythema There is decreased T1 signal and increased STIR signal of the second metatarsal. A transverse band of decreased T1 signal and increased STIR signal is seen in the proximal diaphysis of the second metatarsal (series 601 image 15). There is also decreased enhancement of the second metatarsal, suggestive of hyperacute/acute osteomyelitis.Swelling of the skin and subcutaneous soft tissue of the dorsum with enhancement. Inflammatory changes of the dorsal and plantar foot muscles with loss of fat plane and enhancement. No evidence of abscess.
2nd metatarsal acute osteomyelitis with inflammatory changes of the surrounding muscle, subcutaneous tissue, and skin. 