MRI
Axial T1
Axial STIR
Coronal T1
Sagittal T1
Coronal STIR
Sagittal PD fat sat
Abnormal bone marrow signal (low on T1 and high on PDFS) involving the fifth toe phalanges and fourth toe proximal phalanx associated with skin ulcer at the fourth web space at the dorsal aspect related to osteomyelitis.
The second metatarsal head shows flattening, cortical irregularity, patchy marrow edema and secondary degenerative changes due to Freiberg disease.