Reason: left foot pain - medial plantar surface, after trauma 1 month ago History: eval plantar fascia - midfoot region source of pain?. Markers were placed along the anterior aspect of the midfoot.The plantar fascia and plantar musculature appears normal.There is a small amount of fluid within the flexor hallucis longus tendon sheath immediately proximal to the knot of Henry as well as a small amount of fluid in the tendon sheath as it courses posterior to the talus. These findings may reflect a mild tenosynovitis, but are of questionable clinical significance. Although the Achilles tendon is not imaged in its entirety, the visualized portions appear normal. Mild edema within the posterior aspect of the calcaneus near the Achilles insertion may reflect enthesopathy, of questionable clinical significance. Small amount of fluid within the posterior tibialis and flexor digitorum longus tendon sheaths within normal limits. The peroneal tendons appear intact. The anterior tendons appear intact.Please note that this study was not protocoled for evaluation of the ankle ligaments. However, the Lisfranc ligament appears intact.The bones of the midfoot are intact. There is mild osteoarthritis affecting the first metatarsophalangeal joint. Edema within the plantar aspect of the first metatarsal head likely is degenerative in etiology.Lobulated collection of fluid signal intensity situated dorsal to the middle cuneiform measures 1.1 x 1.3 x 1.6 cm compatible with a ganglion.
1.Normal-appearing plantar fascia and plantar soft tissues.2.Small amount of fluid along the flexor hallucis longus tendon may represent mild tenosynovitis, but is of questionable current clinical significance.3.Mild edema within the posterior aspect of the calcaneus at the Achilles insertion may reflect mild enthesopathy, likewise of questionable current clinical significance.4.Mild osteoarthritis of the first metatarsophalangeal joint.5.Dorsal soft tissue ganglion.