Juvenile arthritis There is abnormal marrow signal intensity involving the third metatarsal however abnormal marrow signal in this area was also partially visualized on an MRI dated 5/12/2016 of the hindfoot. Additional marrow abnormality within the fifth metatarsal seen on the prior exam is no longer visualized. The remaining marrow signal of the metatarsals is normal. There is also faint increased marrow signal intensity of the medial aspect of the head of the proximal phalanx of the fifth toe. No bony erosions are identified. There is severe osteoarthritis of the midfoot with large talonavicular osteophytes.There is soft tissue and muscle edema/enhancement between the second and third toes at the level of the metatarsals which is likely inflammatory in nature. Similar edema and enhancement is seen is within the plantar soft tissues of the great toe particularly at the level of the interphalangeal joint. There is a mild amount of fluid surrounding the flexor tendon of the first digit which is otherwise intact.
1. Mild marrow edema of the third metatarsal and distal phalanx of the great toe without discrete fracture lines. Overall the marrow edema of the foot is decreased when compared to a prior examination.2. Mild inflammation of the plantar soft tissues, particularly between the first and second interspace.3. Osteoarthritis of the midfoot.