Reason: right achilles tendon pain, tenderness History: right achilles tendon pain, tenderness TENDONS: There is mild thickening of the distal Achilles tendon just proximal to its insertion on the calcaneus with linear intrasubstance intermediate signal intensity. These findings suggest a mild tendinosis and perhaps interstitial tearing, but we see no surface tear of the Achilles tendon. There is a large retrocalcaneal bursitis. The flexor and extensor tendons appear intact. The peroneal tendons appear intact.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 no evidence of an osteochondral defect. The bone marrow signal intensity is normal. There is perhaps a minimal Haglund's deformity of the calcaneus. Mild osteoarthritis affects the midfoot articulations.ADDITIONAL
Large retrocalcaneal bursitis with mild tendinosis and perhaps interstitial tearing of the Achilles, but no surface tearing is identified. There is perhaps a very mild Haglund's deformity.