Reason: Left foot osteomyelitis History: Left foot ulcer and SIRS There is soft tissue irregularly along the dorsal and lateral aspect of the fifth MTP joint consistent with the patient's history of ulceration. There are foci of signal void within the subcutaneous tissues in the surrounding area likely representing gas. There is enhancing signal abnormality within the subcutaneous tissues that extends to the level of the fifth MTP joint with resultant bone marrow signal abnormality within the proximal phalanx of the fifth toe and fifth metatarsal head, consistent with osteomyelitis. There is synovial enhancement and fluid within the fifth MTP joint likely reflecting a septic arthritis. There is also enhancement of the subcutaneous tissue along the dorsal aspect of the fifth MTP joint which may reflect early abscess formation/phlegmon. No drainable encapsulated collection is identified. There is deformity of the second and third metatarsal head with erosion of the third metatarsal head which may reflect prior trauma or infection. An additional soft tissue ulceration is identified along the dorsal and medial aspect of the first MTP joint. There is enhancing signal abnormality which extends along the medial and plantar aspect of the first metatarsal head which may reflect additional phlegmon/early abscess formation, however, no bone marrow signal abnormality is identified in the adjacent first metatarsal or sesamoids. No drainable collection is identified. The remainder of the imaged musculature and soft tissues of the foot are unremarkable.
Multiple soft tissue ulcers as described above. Findings indicating osteomyelitis of the head of the fifth metatarsal and proximal phalanx of the fifth digit. Other findings as described above.