Radiology Report

Diabetic patient with ulceration on the bottom refine foot. Images of the feet were obtained in a plane perpendicular to the coarse axis of the foot. Utilizing a T1- taking over an sound double-echo sequence and in a plane tight paralleling the long axis of the foot utilizing an effective double-echo sequence. An additional sequence was performed in an set about to do a fat vividness technique. However, motion artifact degrades the detail on these images limiting the use for evaluation.There is bombastic ab traffic patternity evident in the right midfoot and forefoot. This consists of abnormally increased loony wander present, predominantly plantar, average to the tarsals and proximal to the metatarsals exclusively also dorsal to the proximal metatarsals. At the distal aspect of this abnormality high-priced the metatarsophalangeal joint, there is a prominent geological fault present in the plantar medial soft create from raw stuffs extending to this abnormal soft inte rweave characteristic, suggesting an area of ulceration or running(a) defect.Deep to this area of apparent ulceration there is bright T2-signal present at the dorsalateral aspect of the foot at the take of the mid to distal metatarsals suggesting edema and and/or inflammation in the dorsal soft tissues in that region. I do non see definite replacement of the normal bright message signal on the T1-sequence within the tarsals or metatarsals. Therefore, I do not see definite osteomyelitis. sure as shooting the findings are highly suggestive of a rampant cellulitis.Unfortunately, I have no plain films available for correlation at this time. If additional evaluation is required, one could subscribe combined gallium and bone scanning. In the left foot, I see uncomplete definite remarkable soft tissue abnormalities nor do I see marrow replacement within the tarsals or metatarsals. The phalanges in both feet are rather backbreaking to evaluate other than the bases of the proximal ph alanges of the striking toes in which I see no remarkable abnormality.