Chronic medial ankle pain TENDONS: The Achilles tendon is normal. There is a small amount of fluid within the sheaths of the medial tendons which can be a normal finding and are not necessarily of any clinical significance. The peroneal and anterior tendons also appear normal.LIGAMENTS: The anterior and posterior talofibular ligaments are intact although there is a 1.7 cm lobulated fluid signal intensity focus lateral to the anterior talofibular ligament which likely represents a ganglion. The calcaneofibular ligament is intact. The anterior and posterior tibiofibular ligaments are intact. There is loss of the normal fatty striation of the deep fibers of the deltoid ligament which may reflect prior sprain but this is equivocal and there is no evidence of an acute abnormality. The plantar fascia and sinus tarsi are unremarkable.ARTICULAR SURFACES AND BONE: The bone marrow signal of the ankle is normal with no evidence of an osteochondral defect.ADDITIONAL
Loss of the normal fatty striations of the deep fibers of the deltoid which may reflect prior sprain but this is equivocal. There are otherwise no specific findings to account for the patient's pain. Additional findings are detailed above.