Reason: Evaluate for ankle fracture left History: Pain and edema lateral ankle joint after increase walking at Disney 3 weeks ago Note is made of bone marrow signal abnormality within the anterior process and posterior to the posterior facet of the calcaneus with associated linear decreased signal abnormality on all pulse sequences indicating stress fractures. There is degenerative bone marrow signal abnormality and subchondral cyst formation within the navicular and medial cuneiform. No osteochondral defects are identified. No additional fractures are seen. The flexor and extensor tendons appear intact. There is a longitudinal split tear of the peroneus brevis. The Achilles tendon appears intact however, there is intermediate signal intensity within the distal fibers of the Achilles tendon suggesting mild tendinosis or interstitial tearing. The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The imaged components of the deltoid ligament appear intact. There is nonspecific subcutaneous edema most pronounced along the lateral aspect of the ankle. While some of this edema becomes more confluent along the lateral aspect of the ankle, no drainable fluid collection is identified. There is a small amount of fluid within the tibiotalar and subtalar joints.
1. Stress fractures of the calcaneus and other findings as described above.2. Longitudinal split tear of the peroneus brevis.