Reason: eval for calcaneal stress fracture vs plantar fascial tear History: heel pain for over a year and abnormal xray We see no stress fracture. There is thickening of and increased signal intensity within the medial band of the plantar at its calcaneal attachment. There is a small amount of edema within the adjacent soft tissues and calcaneus. These findings indicate plantar fasciitis. There is mild edema within the navicular tuberosity, which is nonspecific, but we see no fracture line. There is a small amount of fluid within the tibiotalar and subtalar joints as well as the joints of the midfoot and the MTP joints, but this is not necessarily of any clinical significance. Loss of the normal fatty striations of the deep tibiotalar ligament may reflect prior strain but we see no tear. The tendons and ligaments of the ankle otherwise appear normal. The remaining visualized soft tissue structures appear normal.
MRI findings of plantar fasciitis without evidence of calcaneal stress fracture. Mild nonspecific edema of the navicular tuberosity is not necessarily of any clinical significance. 