39-year-old male with severe foot cellulitis. Evaluate for osteomyelitis. TENDONS: There is circumferential fluid signal about the flexor hallucis longus and flexor digitorum tendons which may represent a tenosynovitis.ARTICULAR SURFACES AND BONE: There is increased signal abnormality on fluid sensitive sequences within the proximal and distal phalanx of the first digit/great toe of the right foot. There is no decreased T1 signal abnormality or enhancement on postcontrast sequences associated with this finding, which likely represents reactive osteitis. No evidence of cortical destruction or other findings to suggest osteomyelitis.ADDITIONAL
Findings consistent with stated history of soft tissue ulceration along the plantar aspect of the great toe with extensive inflammatory change in the surrounding area, without evidence of osteomyelitis.