Foot, Cortical Hyperostosis in a Diabetic 75 year old male. XR and MRI. Help.

I received several responses which varied dramatically.
Nobody thought that it looks like HPO or Thyroid acropachy.

Joe Craig said “normal variant”.
Kyung Jin Suh attached an image from Keats that shows much less florid
cortical thickening at the proximal MTs…though the Keats example seems
quite different from this in my opinion.

Iwona Sudol-Szopinska wrote: There are some papers relating that periosteal
thickening of MET with DM but it is non specific and seen in normal
individuals. We don’t even report it.

Aline Serfaty shared an article citing MT periosteal thickening as a common
non-specific finding in the diabetic foot.

I will amend my report and contact the podiatrist and say NEVER MIND.

Thank you all.

Hilary

Metatarsal-periosteal-reactions-a-common-non-specific-finding-in-radiographs-of-the-diabetic-foot.pdf

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