Reason: 40yo F w/ foot swelling pain and concern for deep tissue infection History: as above There is thickening of the distal fibers of the posterior tibialis tendon which may reflect a mild tendinosis. There are lobulated foci of fluid signal intensity within the tendon sheath of the posterior tibialis tendon which demonstrate enhancement on postcontrast sequences likely representing a tenosynovitis. The peroneal tendons appear intact. There may be a small amount of enhancement along the peroneal longus tendon also likely representing a mild tenosynovitis. The Achilles tendon appears intact. The extensor tendons are normal in appearance There is a small amount of fluid about the subtalar joint and talonavicular articulation which demonstrates enhancement on postcontrast sequences likely representing a synovitis. There is also fluid identified about the first MTP joint which is incompletely imaged but also likely represents a synovitis. Mild osteoarthritis affects the talonavicular articulation. There is no bone marrow signal abnormality to suggest osteomyelitis. There are no focal fluid collections to suggest abscess formation. The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The imaged components of the deltoid ligament appear intact.
Tendinosis and a mild tenosynovitis of the posterior tibialis tendon. Findings indicating a mild synovitis affecting the subtalar joint, talonavicular articulation, and first MTP joint. No evidence of osteomyelitis or focal fluid collection to suggest abscess formation.