Poorly controlled diabetic with left foot soft tissue infection and gas on prior film. Please rule out osteomyelitis. There is irregular low T1 signal within the distal portion of the proximal phalanx of the great toe without associated STIR signal. These findings are most compatible with chronic fracture. No significant enhancement. No specific findings of osteomyelitis. Diffuse soft tissue swelling about the great toe. No other significant osseous deformity. Susceptibility artifact presumably from subcutaneous emphysema noted on prior radiographs about the base of the great toe.
Findings compatible with chronic fracture of the distal aspect of the proximal phalanx of the great toe without specific findings of osteomyelitis.