On physical exam, the patient had no fever and appeared well,

On physical exam, the patient had no fever and appeared well, but he had swelling and tenderness at his right heel. A radiograph showed cortical destruction of the calcaneus, which was consistent with osteomyelitis or eosinophilic granuloma. Magnetic resonance imaging (MRI) showed bone marrow edema in the talus, in addition to calcification and complex osteomyelitis… Continue reading On physical exam, the patient had no fever and appeared well,