From the case:
Crossed feet
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All 10 metatarsals and all 28 phalanges are intact on this single view. The right first MTP joint is degenerative. The well defined subchondral lucent lesion in the lateral aspect of the right first proximal phalanx is likely a geode associated with the adjacent MTP joint degeneration.
Case Discussion
Clearly the patient was relaxed during this Xray.
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