Unable to run, possible gastrocnemius tear There is a small focus of edema within the medial fibers of the soleus muscle at the level of the mid leg with a mild amount of edema within the overlying fascia. There is no hematoma or evidence of muscle retraction. There is no abnormal signal intensity in either the medial or lateral head of the gastrocnemius and the remaining leg musculature is also normal in signal intensity.A tiny focus of increased signal intensity is noted in the distal Achilles which may represent a small area of focal degeneration but this is not necessarily of any clinical significance. There is a small amount of fluid within the knee joint which extends posteriorly into a small Baker's cyst. The marrow signal intensity of the tibia and fibula is normal.
Focal edema within the soleus muscle and overlying fascia suggesting a mild myofascial strain injury.