Male, 56 years old. Reason: better evaluation of post-surgical site, rule out osteomyelitis History: as above The examination is somewhat motion degraded. There are postsurgical changes related to amputation of the great toe through the level of the metatarsal diaphysis. There is moderate edema in the surrounding soft tissues. There is increased STIR signal within the distal aspect of the remaining first metatarsal with decreased signal on T1-weighted images which is suspicious for osteomyelitis. Additional abnormal signal is noted within the second metatarsal head extending into the diaphysis, suspicious for an additional focal area of osteomyelitis. The remainder of the bones of the foot show normal marrow signal. There is no discrete fluid collection identified within the soft tissues.
Postsurgical changes related to amputation through the first metatarsal. Abnormal marrow signal involving the remaining portion of the first metatarsal as well as the distal aspect of the second metatarsal, highly suspicious for osteomyelitis in these two areas.