PMC4897089_01
4-year-old boy with macrodystrophia lipomatosa. AP radiograph of the right foot demonstrates enlargement of the soft tissues (arrow) of the second toe, which appears to be laterally deviated and approximates the first digit in size. Note the distal phalanx resection of the second toe, with broadening and irregularity of the distal aspect of the remaining distal phalanx.
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An x-ray of the affected extremity was obtained immediately to rule out an acute process (Fig. 1), followed by an MRI study (Fig. 2).