Male, 51 years old. Reason: Evaluate for osteomyelitis, soft tissue necrosis History: Abscess/cellulitis of L foot in pt with PVD, DM TENDONS: The imaged portions of the flexor and extensor tendons are intact. There is mild tenosynovitis of the extensor tendons.LIGAMENTS: Image portion of the Lisfranc ligament is intact.ARTICULAR SURFACES AND BONE: Degenerative changes affects the first metatarsophalangeal joint with moderate osteoarthritic changes. There is mild hallux valgus deformity.No marrow signal abnormalities noted on the T1 weighted image to suggest acute osteomyelitis. Erosive changes at the tufts of the second third digits are unchanged.. ADDITIONAL
Soft tissue swelling and some muscle edema but no specific evidence of osteomyelitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.