60-year-old male with history of liver kidney transplant The patient is status post amputation the distal phalanx of the great toe. The distal 1 cmof the proximal phalanx has been replaced by a soft tissue mass, which is hypointense onboth T1 and T2 sequences, appearing similar to the prior exam. The there is low T1 marrow signal within the distal first phalanx with associated marrow edema consistent with ongoing osteomyelitis. Soft tissue swelling surrounding the distal first phalanx has increased from the prior exam.
Osteomyelitis involving the distal first phalanx with interval increase in associated soft tissue swelling.