60-year-old female with foot pain for years, right greater than left. Evaluate for plantar calcaneal heel spur and DJD. Left foot:There is a moderate-sized plantar calcaneal heel spur. There is an os trigonum. Moderate osteoarthritis affects the first MTP joint. Mineralization along the distal diaphysis of the third metatarsal may represent old trauma or a prior stress fracture, appearing similar to the prior study.Right foot:There is a small plantar calcaneal heel spur. Osteoarthritis affects the talonavicular joint as seen on the prior MRI. There is a small lucency along the articular surface of the navicular bone that may represent prior trauma or an old stress fracture. There is an os trigonum. Moderate osteoarthritis affects the first MTP joint.
Plantar calcaneal spurs, degenerative changes, and other findings as described above.