Reason: please evaluate for cause of diffuse soft tissue swelling, more lateral than medial. Evaluate for achilles tendinopathy as well History: ankle pain and diffuse swelling TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. There is thickening and intermediate signal intensity within the distal fibers of the Achilles tendon indicating moderate tendinosis. There is linear increased signal abnormality within the distal fibers of the Achilles tendon at the level of its insertion on the calcaneus indicating a partial thickness tear without significant retraction. There is a small amount of fluid within the retrocalcaneal bursa which may reflect a very mild bursitis.LIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The imaged components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is subchondral cyst formation within the navicular bone about the talonavicular joint likely degenerative in etiology. Otherwise no bone marrow signal abnormality is identified. ADDITIONAL
Achilles tendon tendinopathy and partial thickness tearing as described above. Other findings as described above.