Figure 12.

Fifty-eight-year-old diabetic male with history of right great toe amputation (at the MTP joint) 2 months previously, now with new pain, swelling, and redness in the medial forefoot. ^99mTc MDP SPECT/CT bone scan (B,C) shows increased uptake at the first metatarsal head and the second MTP joint (white arrows). An ¹¹¹In WBC SPECT/CT scan (A) shows concordant uptake as well as a larger area of soft tissue uptake around first metatarsal head and the second MTP joint, confirming cellulitis in addition to osteomyelitis (white arrowhead).