Objective: The purpose of this report is to discuss the presentation and the progressive magnetic resonance imaging (MRI) findings in a single patient with clinically-diagnosed Raynaud's phenomenon (RP).

Conclusion: RP can present as non-specific toe pain and manifest as progressive abnormal MRI bone marrow signal in the toes. In addition to patient presentation and clinical assessment, this information could contribute to earlier diagnosis and treatment of RP and other coexisting rheumatologic disorders.