Achilles injury There is marked signal abnormality and thickening of the Achilles tendon throughout the majority of its course but most notably beginning approximately 7.5 cm proximal to its insertion and extending for 5 cm proximal to this. Within these more proximal 5 cm, areas of near full-thickness tearing with a small fluid-filled gap is seen, best on series 1601 image 14. There is irregularity and discontinuity of the proximal soleus tendon best appreciated on axial images 1 through 13 on series 701. This extends along the majority of the course of the tendon to the level of the Achilles. Small fluid collection is identified in the area likely representing a small hematoma (series 701 image 6) and there is diffuse edema within the soleus at this level. A small amount of fluid is also seen surrounding the plantaris tendon although the tendon itself appears intact to the level of the distal Achilles. There is a mild amount of edema within the medial head of the gastrocnemius but the tendons of the gastrocnemius appear intact at least to the level of the Achilles tendon.The marrow signal of the tibia and fibula are normal.
1. Findings concerning for Achilles rupture which is superimposed upon marked tendinopathy.2. Tearing of the soleus tendon proximally with a small associated hematoma and diffuse edema of the soleus muscle.