Reason: 70 yo F with ESRD, CVA, PAD s/p recent revision of R great toe amputation admitted with AMS, eval for osteomyelitis of the R foot History: AMS, recent amputation Severely limited examination secondary to the patient's inability to cooperate with the examination. The examination was terminated early due to the patient's inability to follow instructions. Only sagittal T1 and STIR images were obtained. The sagittal STIR sequences markedly limited due to extensive patient motion artifact. There is destruction of the first metatarsal to the level of the mid diaphysis with associated decreased T1 signal abnormality about the distal bone marrow of the remnant of the first metatarsal. These changes are incompletely characterized on this severely limited examination. There is decreased signal abnormality in the surrounding soft tissues on T1-weighted images. The remainder of the imaged bones of the foot are unremarkable on the T1-weighted images.
Destruction of the first metatarsal to the level of the mid diaphysis with associated decreased signal abnormality on T1-weighted images. While these findings are suggestive of osteomyelitis, this is incompletely characterized on this severely limited examination.