57-year-old male with concern for osteomyelitis of the right third (middle) finger. There are postsurgical changes related to amputation of the third (middle finger) digit to the level of the middle phalanx. There is abnormal bone marrow signal intensity of the middle and proximal phalanx of the third digit with low T1 signal of the remaining middle phalanx and head of the proximal phalanx and corresponding high T2 signal. There may be associated mild enhancement of the bone marrow signal after intravenous contrast administration. There appear to be distal amputation of the second digit (index finger) however this is incompletely evaluated. The tendons and ligaments of the third digit appear normal. Bone marrow signal intensity of the remaining digits is unremarkable.
Postsurgical changes related to amputation of the third digit (middle finger) to the level of the middle phalanx with findings suspicious for osteomyelitis of the head of the proximal phalanx and remaining middle phalanx extending to the amputation margin.