Left plantar foot wound. MRI not sure about "osteo". Evaluate for "osteo". There is swelling of the soft tissues adjacent to the first metatarsophalangeal joint. There is ulceration of the soft tissues beneath the proximal phalanx of the great toe. There is dorsal dislocation of the proximal phalanx of the great toe relative to the first metatarsal. Erosive deformity of the head of the first metatarsal and base of the proximal phalanx is better appreciated on the recent MRI examination; based on the MRI examination, I suspect these erosions are chronic. The sesamoid bones are absent either, due to long-standing destruction or resection.
Ulceration of the soft tissues beneath the proximal phalanx of the great toe. Erosive deformity of the head of the first metatarsal and base of the proximal phalanx of the great toe likely represents sequela of infection; based on the MRI examination, I suspect this is chronic. 