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MRI OF THE [RIGHT][LEFT] ANKLE [WITH][WITHOUT] CONTRAST.
INDICATION:
[]
TECHNIQUE: [Axial and coronal proton density images with and without fat
suppression, sagittal T2 and proton density images of the [right][left]
ankle
were obtained on a [1.5] Tesla magnet.]
COMPARISON: [None].
FINDINGS:
Alignment: [Normal.][[Talo-navicular uncovering.][Talar fault.][Hindfoot
valgus.]]
Fluid
Tibiotalar: [Normal.][[Small][Moderate][Large] joint effusion.]
Subtalar: [Normal.][[Small][Moderate][Large] joint effusion.]
Medial
Medial malleolus:
[Normal.][Bone marrow edema.]
Tendons:
Posterior tibial tendon: [Normal.][[Tendinosis.][Partial thickness
tear.]
[Full thickness tear.][Tenosynovitis.]]
Flexor digitorum longus: [Normal.][[Tendinosis.][Partial thickness
tear.]
[Full thickness tear.][Tenosynovitis.]]
Flexor hallucis longus: [Normal.][[Tendinosis.][Partial thickness
tear.]
[Full thickness tear.][Tenosynovitis.]]
Ligaments:
Deltoid ligament complex - superficial:
[Intact.][[Thickened.][Sprain.][Tear.]]
Deltoid ligament complex - deep:
[Intact.][[Thickened.][Sprain.][Tear.]]
Spring (plantar calcaneo-navicular) ligament:
[Intact.][[Thickened.][Sprain.][Tear.]]
Lateral
Lateral malleolus: [Normal.][Bone marrow edema.]
Retromalleolar groove: [Flat.][Concave.][Convex.]
Tendons:
Peroneus longus: [Normal.][[Tendinosis.][Partial thickness
tear.][Full thickness tear.][Tenosynovitis.]]
Peroneus brevis: [Normal.][[Tendinosis.][Partial thickness
tear.][Full thickness tear.][Tenosynovitis.]]
Peroneal retinaculum: [Intact.][Torn.]
[Peroneus quartus present.]
Ligaments:
Anterior inferior tibiofibular (syndesmosis):
[Intact.][[Thickened.][Sprain.][Tear.]]
Posterior inferior tibiofibular (syndesmosis):
[Intact.][[Thickened.][Sprain.][Tear.]]
Anterior talofibular ligament:
[Intact.][[Thickened.][Sprain.][Tear.]]
Calcaneofibular ligament:
[Intact.][[Thickened.][Sprain.][Tear.]]
Posterior talofibular ligament:
[Intact.][[Thickened.][Sprain.][Tear.]]
Posterior:
Posterior talus: [Normal.][[Os trigonum.][Stieda
process.][Bone marrow edema.]]
Intermalleolar ligament:
[Intact.][[Thickened.][Sprain.][Tear.]]
Achilles tendon: [Normal.][[Tendinosis.][Partial thickness
tear.][Full thickness tear.][Peritendinitis.]]
Plantar fascia: [Normal.][[Thickened.][[Posterior][Inferior]
enthesophyte.]]
Anterior:
Tendons:
Anterior tibial tendon: [Normal.][[Tendinosis.][Partial
thickness tear.]
[Full thickness tear.][Tenosynovitis.]]
Extensor hallucis longus: [Normal.][[Tendinosis.][Partial
thickness tear.]
[Full thickness tear.][Tenosynovitis.]]
Extensor digitorum longus: [Normal.][[Tendinosis.][Partial
thickness tear.]
[Full thickness tear.][Tenosynovitis.]]
[Peroneus tertius present.]
Tibiotalar joint: [Normal.][[[Mild][Moderate][Severe] osteoarthritis[
with
anterior osteophyte].][Osteochondral lesion.]]
Subtalar joint: [Normal.][[[Mild][Moderate][Severe] osteoarthritis[ with
anterior osteophyte].]
Bones (other than subarticular marrow):
Muscles:
[Normal.][strain/tear/atrophy]
Tarsal tunnel:
Sinus tarsi:
IMPRESSION:
[Normal.]
[Normal.][Fluid signal.]
[Normal.]