Left toe pain, recurrent, sharp, in the dorsal aspect of the toe around the base of the nail. Question of neuroma or other structural cause of chronic left great toe pain. Subjectively, the nail bed of the great toe appears slightly thickened, but the clinical significance is uncertain and we see no discrete mass. The underlying distal phalanx appears normal. A small amount of fluid is noted in the first interphalangeal and first metatarsophalangeal joints of unlikely clinical significance. There is perhaps mild edema within the medial sesamoid bone beneath the first metatarsal head which may represent a mild stress reaction, but this is of uncertain clinical significance. The flexor and extensor tendons of the great toe appear normal. The remainder of the forefoot appears normal. We see no significant enhancement. We see no neuroma.
Slight subjective thickening of the nail bed is noted, but of questionable clinical significance. We see no mass or other specific findings to account for the patient's pain.