Male; 31 years old. Reason: Evaluate for ligamentous injury, occult fx History: Patient is 2 months s/p severe sprain, initial radiographs at OSH negative, persistent pain with weight bearing, most at top of ankle and medially. TENDONS: No significant abnormality noted.LIGAMENTS: There is increased signal within a thickened and heterogeneous deltoid ligament, suspicious for at least a partial tear. The anterior and posterior talofibular ligaments are visualized and unremarkable. ARTICULAR SURFACES AND BONE: Bone marrow edema in the medial malleolus, likely secondary to contusion associated with ligamentous injury described above. No acute fracture or osteochondral defect. Articular cartilage is within normal limits.ADDITIONAL
Findings compatible with at least a partial tear of the deltoid ligament as described above.