45-year-old female patient with right foot and ankle pain. Right ankle: There is mild soft tissue swelling about the ankle, but we see no ankle fracture. There is mild spurring of the fibular tip, which may represent old trauma. Right foot: There is mild soft tissue swelling about the foot without acute fracture. A small ossicle along the lateral aspect of the cuboid bone may represent prior injury, however, cannot exclude retraction of an os peroneum from a peroneus longus tendon tear. If there is clinical concern for a tendon rupture, MRI can be obtained. Mild osteoarthritis affects the first metatarsophalangeal joint.
1.Mild soft tissue swelling and osteoarthritis without acute fracture seen.2.Ossicle lateral to the cuboid bone may not be of current clinical significance, however, if there is clinical concern for tendon rupture MRI can be obtained. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.