Pain. Evaluate for osteoarthritis. Note is made of increased bone marrow signal abnormality about the second tarsometatarsal joints indicating degenerative change. There is a well-circumscribed lesion within the mid diaphysis of the third metatarsal which demonstrates decreased signal abnormality on T1-weighted images and increased signal abnormality on fluid sensitive sequences with peripheral low signal intensity likely representing sclerosis. This has benign imaging characteristics and may represent an enchondroma, although this could be better characterized with radiographs, if available. There is no cortical destruction or soft tissue extension. The flexor and extensor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is normal in appearance. There is nonspecific subcutaneous edema about the dorsal aspect of the second and third tarsometatarsal joints. The ligaments of the ankle appear intact. There is nonspecific edema within Kager's fat pad.
Osteoarthritis of the foot and other findings as described above