81-year-old female with a nonhealing ulcer and elevated CRP greater than 200. Evaluate for osteomyelitis of the left third toe stump. Note is made of increased signal abnormality on fluid sensitive sequences within the proximal phalanx of the third toe of the left foot with associated decreased signal abnormality on T1-weighted images and enhancement on postcontrast sequences. These findings are consistent with osteomyelitis. No additional bone marrow signal abnormality is identified. There is nonspecific subcutaneous edema along the midfoot and forefoot most pronounced along the dorsal aspect of the metatarsals. Superimposed infection cannot be excluded and clinical correlation is indicated. No focal fluid collection is identified to suggest abscess formation. There is nonspecific increased signal abnormality within the imaged flexor and extensor musculature of the midfoot/forefoot.
Findings consistent with osteomyelitis of the remnant of the third toe as described above.