33-year-old female with draining wounds evaluate for osteomyelitis. There is soft tissue irregularity along the distal aspect of the great toe consistent with the stated history of ulceration. Note is made of foci of deep subcutaneous gas density adjacent to the distal tuft of the distal phalanx of the great toe. There is perhaps mild cortical indistinctness along the distal tuft of the distal phalanx of the great toe consistent with the findings on recent MRI of osteomyelitis. No acute fracture or malalignment. There is soft tissue swelling about the ankle. Vascular calcifications are identified in the overlying soft tissues.
Findings consistent with osteomyelitis of the distal phalanx of the great toe as described above.