Male 74 years old with pain of the right ankle and foot, evaluate Right ankle:Mild soft tissue swelling along the medial aspect of the ankle. Mild spurring along the medial malleolus that may reflect old trauma, but no acute fracture evident. Small ossicle dorsal to the neck of the talus may also reflect old trauma, however, no acute fracture evident.Right foot:Severe osteoarthritis affects the first metatarsophalangeal joint with mild to moderate osteoarthritis affecting the interphalangeal joints. Mild osteoarthritis affects the midfoot. Note is made of an accessory navicular bone situated approximately 5 mm from the navicular tuberosity. If there is clinical concern for posterior tibial tendon dysfunction MRI can be obtained. Vascular calcifications also noted.
Osteoarthritis of the right foot and other findings as described above.