Diabetic foot. Osteomyelitis?
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Subcortical lucency and cortical destruction centered on the 2nd MTP joint with involved of the both the metastarsal head and base of the proximal phalanx.
The remaining digits are normal in appearance.
Osteomyelitis is very common in diabetics.
The foot is the commonest location, the distal extremities being prone to ulceration, neuropathy and the conditions that may lead to osteomyelitis.