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X-ray of Right foot: Erosive changes of the great toe distal phalanx suggesting osteomyelitis.
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He returned to the Urgent Care center where he was administered ceftriaxone 1 g intramuscularly and was referred to the emergency department (ED) for x-rays, which revealed erosive changes of the right great toe distal phalanx, suggestive of osteomyelitis [Fig. 1].
MRI of Right foot with and without contrast: There is abnormal marrow signal intensity throughout the distal phalanx of the great toe. This is T1 hypointense with enhancement and STIR hyperintense. Findings compatible with acute osteomyelitis.
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A magnetic resonance imagining (MRI) scan with contrast showed acute osteomyelitis of the toe [Fig. 2].