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Fig. 4A. —55-year-old diabetic woman with necrosis of first and second toes and surgically confirmed abscess below first metatarsal head. Coronal (transverse to long axis of foot) T1-weighted MR image (TR/TE, 433/9) of forefoot shows shallow ulcer (arrow) below first metatarsal head. Note focal loss of fat signal in adjacent soft tissues, with hypointense gas inclusions.