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Guest 56 10th Dec, 2019

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                         MR Lower Extrem wo Cont Rt	EXAM: MRI Foot
EXAM DATE: 11/10/2019 10:30 AM PST
INDICATION: osteomyelitis
IMAGING TECHNIQUE: Standard multiplanar multisequence MRI of the right Foot was obtained on 3.0 T superconducting magnet without administration of intravenous or intra-articular gadolinium. Hindfoot not included on current study.
COMPARISON: X-ray dated November 9, 2019
FINDINGS:
First Digit: The first tarsometatarsal joint is preserved. There is no evidence of acute bone marrow edema of the first metatarsal or the visualized proximal phalanx. There is minimal edema identified within the distal phalanx of the first digit. This could be related to incomplete fat saturation but is seen on multiple imaging planes concerning for either trauma, reactive edema, but early infection not excluded. Minor edema within the fibular sesamoid.
Second Digit: The second tarsometatarsal joint alignment is grossly preserved without evidence of acute bone marrow edema of the second digit.
Third Digit: Third tarsometatarsal joint alignment is preserved without evidence of acute edema of the third digit.
Fourth Digit: The fourth tarsometatarsal joint alignment is preserved without evidence of acute edema of the fourth digit.
Fifth Digit: Fifth tarsometatarsal joint alignment is preserved without definitive evidence of acute edema of the fifth digit.
Other: There is soft tissue swelling and muscle edema identified..
IMPRESSION:
1.There is a component of edema identified within the distal phalanx of the first digit. This could be related to incomplete fat saturation but is seen on multiple imaging planes concerning for either trauma, reactive edema, but early infection not excluded.
2. Soft tissue swelling muscle edema could be infectious/inflammatory given the history.
3. Minor edema within the fibular sesamoid could be reactive edema, posttraumatic, and less likely but still in the differential infectious.
* * * F I N A L * * *
Dictated by: Chopra, Rajiv K MD, Physician
Electronically signed by: Chopra, Rajiv K MD
Transcribed by:SP , D: 11/10/2019 11:04, T: 11/10/2019 11:04, S: 11/10/2019 11:15
                      
                                       
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