48-year-old female with left heel pain and swelling for 2 weeks. Assess for possible stress fracture. The flexor and and extensor tendons appear intact. The peroneal tendons appear intact.There is slight thickening of the anterior talofibular ligament, which may represent an old sprain. The calcaneofibular ligament appears intact. The posterior talofibular ligament appears intact. There is thickening of the anterior tibiofibular ligament likely indicating prior injury. The posterior tibiofibular ligament appears intact. The visualized components of the deltoid ligament appear intact.There is thickening and mild increased signal intensity of the plantar fascia at its attachment to the calcaneus suggesting plantar fasciitis. There is edema type signal abnormality within the surrounding soft tissues. There is a small plantar calcaneal spur with mild edema within the spur and adjacent marrow, likely reactive in etiology, but we see no fracture line. There is a trace amount of fluid within the ankle joint but no frank effusion is evident. There is an oblique band of abnormal signal intensity partially traversing the distal fibula indicating the residua of a chronic fracture. There is bony bridging both medially and laterally along the fracture. There is a small focus of edema type signal abnormality within the body of the talus along the posterior facet which may be degenerative in etiology, but this does not have the appearance of a stress fracture. There are small cysts within the anterior aspect of the tibial plafond suggesting minimal osteoarthritis.
1. Plantar fasciitis.2. Chronic fibular fracture and mild osteoarthritic changes as described above, without findings to suggest a stress fracture.