Long-standing type II diabetes mellitus. Known neuropathic foot deformity. Previous right foot surgery for osteomyelitis. Cutaneous fistula at the medial mid-/hindfoot.
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Destruction of the cuneiform bones, the metatarsal bases, and parts of the cuboid and talus. There were excessive scar formation and edema. An abscess cavity could be seen at the tarso-metatarsal junction in the post-contrast acquisition. Bone necrosis at the talar head and the displaced lateral cuneiform.
All of the features seen are attributed to a neuropathic Charcot type deformity.