48-year-old male with pain and swelling of the left foot around the talocalcaneal navicular region following acute injury playing soccer. A vitamin E capsule overlies the dorsal aspect of the base of the first and second metatarsals presumably representing the patient's site of pain.TENDONS: The peroneal tendons appear intact. There is mild increased intermediate signal abnormality within the peroneus longus tendon indicating mild tendinosis. The flexor tendons appear intact. The extensor tendons appear intact. The Achilles tendon appears intact.LIGAMENTS: There is thickening of the anterior talofibular ligament which may reflect prior injury or sprain. The lateral collateral ligament complex otherwise appears intact. The distal tibiofibular syndesmotic complex appears intact. The visualized components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: Note is made of increased signal abnormality within the second metatarsal with associated periosteal reaction and linear decreased signal abnormality traversing the base of the second metatarsal, indicating a stress reaction/fracture. ADDITIONAL
1. Stress reaction/fracture of the second metatarsal as described above.2. Nonspecific subcutaneous edema along the lateral aspect of the ankle and dorsal aspect of the foot as described above.3. Peroneus longus tendinosis.