Male 72 years old Reason: r/o fracture History: pain TENDONS: There is minimal thickening of and increased signal intensity within the Achilles' tendon suggesting minimal Achilles' tendinosis which may not be of any clinical significance. There is a complete longitudinal tear of the tibialis posterior tendon as it courses behind and beneath the medial malleolus. Additional increased signal intensity within the tendon at its insertion likely represents insertional tendinosis. Fluid signal intensity within the tendon sheath, above the medial malleolus, suggests mild tenosynovitis. The peroneal tendons appear intact. Anterior tendons are normal.LIGAMENTS: The anterior talofibular and posterior talofibular ligaments appear intact. The calcaneofibular ligament appears slightly thickened, which may reflect old injury. The ligaments of the distal tibiofibular syndesmotic complex are intact. Loss of the normal striations of the deep fibers of the deltoid ligament may represent old injury, but we see no acute ligamentous disruption.ARTICULAR SURFACES AND BONE: We see no fracture. Mild osteoarthritis affects the tibiotalar joint. There are small foci of low signal intensity within the anterior recess of the tibiotalar joint which may represent cartilaginous loose bodies. ADDITIONAL
1.No fracture evident.2.Longitudinal tear of the tibialis posterior tendon as described above.3.Mild osteoarthritis of the tibiotalar joint with possible small cartilaginous loose bodies in the anterior aspect of the joint.4.Other findings as above.