Figure 19. Second ray syndrome in a 43-year-old patient. Coronal fat-saturated turbo spin-echo T2-weighted MR image (3,500/119) demonstrates synovitis of the second metatarsophalangeal joint (arrowhead) and soft-tissue edema in the second plantar metatarsal space (arrows). These pathologic conditions can cause compression of the corresponding common plantar digital nerve branches.