62-year-old female with diabetic foot infection. Evaluate for osteomyelitis. 3 views of the right foot demonstrate diffuse demineralization. The margin of the medial aspect of the base of the fourth proximal phalanx is indistinct. This finding may simply reflect a combination of diffuse demineralization and overlying soft tissue swelling, but the possibility of osteomyelitis cannot be excluded. If this finding corresponds to the area of pain or concern, MRI is recommended for further evaluation. Mild osteoarthritis affects the first MTP joint, interphalangeal joints, and midfoot.
Poor cortical definition of the base of the fourth proximal phalanx, which is of uncertain significance but could represent osteomyelitis in the appropriate clinical context. If further evaluation is clinically warranted, MRI is recommended.Findings were discussed with Dr. Huang of the ER via telephone on 8/26/2015 at 09:45. 