Foot pain There is abnormal marrow edema of the first metatarsal extending from the proximal diaphysis into the head. A discrete fracture line is not visualized although there is a small full-thickness articular cartilage defect of the head of the metatarsal best appreciated on series 901 image 11/48.The marrow signal of the visualized tarsals, metatarsals and phalanges is normal.There is soft tissue edema surrounding the head of the first metatarsal with a trace amount of fluid in the first metatarsophalangeal joint felt to be reactive in nature. The remaining soft tissues and muscles are normal. The visualized extensor and flexor tendons are also normal.
Small full-thickness cartilage defect of the head of the first metatarsal with associated marrow edema throughout the diaphysis. No discrete fracture line is identified.