Reason: right ankle swelling and pain. s/p lung transplant, diabetic, r/o Charcot joint History: as noted above TENDONS: The peroneal tendons appear intact. The flexor and extensor tendons appear intact. The Achilles tendon is normal in appearanceLIGAMENTS: 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 nonspecific edema type signal abnormality within the distal tibial metaphysis which is nonspecific but may reflect islands of red marrow. There is subcutaneous edema about the distal tibia and fibula most pronounced along the lateral aspect of the ankle.ADDITIONAL
Nonspecific diffuse subcutaneous and soft tissue edema/inflammatory change about the ankle as described above. No evidence of Charcot joint as clinically questioned.