A 7-year-old Quarter Horse gelding was referred for magnetic resonance (MR) imaging due to chronic left hindlimb lameness localised to the foot. On presentation, a previously undiagnosed draining tract was identified at the plantar aspect of the pastern. Radiographs revealed severe osteolysis of the navicular bone. Positive contrast MR fistulography was performed using a gadolinium based contrast agent following conventional MR imaging of the left hind foot. Fistulography allowed characterisation of a fistulous tract, which was closely associated with the deep digital flexor tendon, navicular bursa and osteomyelitis of the navicular bone.