sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzmar lmn / M / 37 yrs.
Referred by : Dr. Abc Xyznna.
Examination : M.R.I. of the Left Great Toe.

CLINICAL PROFILE :

C/O pain, tenderness and swelling of the left greater toe since 4-5 years. Previous H/O surgery of the left great toe, details not available.
Non-diabetic.

EXAMINATION :

M.R.I of the left great toe was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

4 mm thick T1 Weighted and STIR axial images.

OBSERVATION :

The patient is status post-operative (details not available).

There is seen an ill-defined, hypointense signal on the T1 Weighted images at the distal end of the proximal phalanx of the left great toe, along its margin. This lesion appears heterogeneously hyperintense on the T2 Weighted and STIR images. Probable erosion of the medial and inferior margins of the proximal phalanx at the site of the lesion is noted. A hypointense signal, more pronounced on the T2 Weighted and STIR images, in the centre of the above described lesion may represent a calcific/ossific/sclerotic lesion.



There is an intermediate signal intensity soft tissue lesion on the T1 Weighted images around the distal end of the proximal phalanx of the left great toe and the proximal interphalangeal
joint which appears hyperintense on the T2 Weighted and STIR images. Inferior displacement of the flexor tendon of the left great toe is noted.

No definite involvement of the interphalangeal joint is noted.

IMPRESSION :

Altered signal at the distal end of the proximal phalanx of the left great toe, as described is not specific for a single etiology.

Osteomyelitis with a sequestrum (a hypointense lesion on all the pulse sequences) is a likely possibility. A neoplasm cannot be entirely excluded.

Soft tissue around the lesion and around the interphalangeal joint may represent effusion/granulation tissue.

As compared to the previous MRI dated 00.00.00, there is an increase in the extent of the lesion.

The patient is status post-operative (details unavailable).