Achilles tendon repair with wound dehiscent. Pain Marked abnormal thickening and signal abnormality is observed in the Achilles tendon throughout the entire course of the then the distal most 1 to 2 cm attachment distally. Specifically focal disruption with approximately 1.5 cm of distraction underlies and correlates with the posterior soft tissue defect approximately 5 cm above the calcaneal insertion. No definite intact fibers are observed. Surrounding additional soft tissue inflammation is otherwise identified without extension into alternate muscles or compartments. Specifically no discrete focal fluid collection or additional findings to support a discrete abscess. Surrounding soft tissue changes are are otherwise nonspecific and at minimum inflammatory.Remaining ankle tendons are otherwise grossly intactThe underlying osseous structures are otherwise intact with otherwise grossly normal marrow signal given suspected heterogeneous marrow placement secondary to suspected disuse.
Pronounced Achilles tendon abnormality consistent with suspected disruption and degenerative changes observed approximately 6 cm above the calcaneal insertion. Loss of tendon integrity with retraction is also suspected. See details provided.