Achilles pain TENDONS: There is perhaps minimal thickening and increased signal intensity of the Achilles which may reflect minimal tendinosis but this is equivocal. There is distention of the retrocalcaneal bursa with fluid indicating bursitis and there is associated reactive edema in the underlying calcaneus. The flexor, extensor, and peroneal tendons are intact.LIGAMENTS: The anterior talofibular ligament appears slightly thinned but is otherwise intact. The calcaneofibular, posterior talofibular, and ligaments of the distal tibiofibular syndesmotic complex as well as the visualized portion of the deltoid ligaments are intact. There is a tiny focus of fluid signal intensity adjacent to the posterior talofibular ligament which may reflect a small ganglion.ARTICULAR SURFACES AND BONE: Aside from the reactive edema within the posterior calcaneus, the remaining marrow signal of the ankle is normal. There is no osteochondral lesion.
Retrocalcaneal bursitis with other findings described above.