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Series 1 demonstrates the frontal views of both angiographic and blood phases. There is focal hyper perfusion on the angiographic phase and hyperaemia on the blood pool phase on the medial aspect of the left forefoot.
Series 2 demonstrates the lateral projection of both feet. There is focal hyperaemia involving the soft tissue surrounding the left first metatarsophalangeal joint.
Series 3 shows anterior, plantar and medial projections of the feet. There is high grade activity involving the sesamoid bones around the left first MTP joint with moderate activity involving both left 1st metatarsal and left big toe proximal phalanx.
The diagnosis is sesamoiditis and left 1st MTP septic arthritis.