Ankle swelling and pain, changes most pronounced on the dorsum of foot Bones: Mild degenerative changes similar to the plain film without new abnormality. Specifically marrow signal and osseous structures remain well aligned and unremarkable. No abnormal intraosseous abnormalities or abnormal fluid collections. Particular attention was placed onThe patient placed marker overlying the dorsal and lateral aspectsSoft tissues: Mild diffuse soft tissue swelling and stranding is observed without specific focal abnormality. Specifically no abnormal fluid collections. Surrounding musculature otherwise unremarkable. No abnormal fluid collections.Ligaments: Visualized ligaments appear intact.Tendons: Tendons are also well visualized and normal in appearance, both in size, signal characteristics and contourOther: Of note are multiple engorged veins observed on the medial and inferior aspects of the ankle opposite to the patient described focal areas of pain. These are of uncertain clinical significance.
Mild degenerative changes without discrete focal soft tissue abnormalities to account for patient's pain and surrounding mild to moderate nonspecific swelling..