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Soft tissue defect noted at posterior calcaneus. Cortical erosion and bony destruction with a permeative pattern are seen at the posterior calcaneus. Remaining bones are diffusely osteopaenic. Changes at the second metatarsophalangeal joint are degenerative and may represent the sequelae of Frieberg's infraction.
Conclusion: Changes at the calcaneus are compatible with osteomyelitis.