Osteomyelitis The examination is markedly limited by motion artifact. The patient was unable to tolerate the exam and no contrast was administered.First ray: Normal marrow signal.Second ray: Normal marrow signal.Third ray: There is mild deformity of the head of the third metatarsal but the marrow signal of the third ray is normal.Fourth ray: Normal marrow signal. There is a focus of soft tissue gas and deep ulceration overlying the plantar aspect of the diaphysis.Fifth ray: There has been amputation of the fifth ray to the level of the fifth metatarsal base. The visualized portion of the fifth metatarsal base demonstrates normal marrow signal intensity.There is diffuse soft tissue swelling of the dorsal foot. Within the limits of this exam, there is no discrete fluid collection. Probable degenerative cysts noted in the navicular.
Limited examination demonstrates deep ulceration and soft tissue gas at the level of the third and fourth metatarsal diaphyses but no definite evidence of osteomyelitis.