Reason: 56 with with RA c/o L achilles pain evaluate History: L achilles pain, mild swelling TENDONS: The Achilles tendon is slightly thickened, suggesting very mild tendinosis. Mild edema in the vicinity of the retrocalcaneal bursa suggests mild inflammation. We see no Achilles tendon tear. There is a small amount of fluid in the sheaths of the medial and peroneal tendons, which is within normal limits. The tendons of the ankle appear normal. LIGAMENTS: The ligaments of the ankle appear intact.ARTICULAR SURFACES AND BONE: Bone marrow signal intensity is within normal limits. There are small amounts of fluid within the tibiotalar, subtalar and talonavicular joints, within normal limits. We see no osteochondral defect. ADDITIONAL
1.Mild Achilles tendinosis and perhaps mild inflammation in the adjacent retrocalcaneal bursa, but we see no Achilles tendon tear.2.Mild nonspecific inflammation of the deep intermuscular tissues plantar to the tarsal bones of uncertain etiology or significance but perhaps reflecting mild inflammation. 