83-year-old male with severe foot pain with ulcer, rule out osteomyelitis There are postsurgical changes of transmetatarsal amputation as seen on prior radiographs. There is edema within the lateral aspect of the foot and immediately adjacent to the stump. There is also ulceration and skin thickening in the soft tissues immediately adjacent to the stump with edema approaching the bone, however there is no definite signal abnormality to indicate osteomyelitis. There is edema within the fifth metatarsal stump without associated low T1 signal, likely representing reactive osteitis. Linear T1 signal through the fifth metatarsal stump may represent an old nondisplaced fracture. Edema is also seen within the subcutaneous tissues along the posterior aspect of lower leg and medial aspect of the ankle. No focal fluid collection is present.
Ulceration along the distal stump with edema extending to the bones, however there is no definite evidence of osteomyelitis.