Reason: anterolateral ankle pain after ankle sprain 2+ months ago. Is there and OCD, what is status of ATFL and CFL History: pain at night TENDONS: The Achilles tendon is intact. The peroneal tendons are intact. The extensor tendons are intact. There is a small amount of fluid surrounding the posterior tibialis, flexor digitorum longus and flexor hallucis longus tendons suggesting mild tenosynovitis.LIGAMENTS: The anterior talofibular ligament is not identified and likely torn. The posterior talofibular ligament, tibiofibular ligaments and calcaneofibular ligaments are intact.ARTICULAR SURFACES AND BONE: There is a os trigonum is noted. There is a small defect in the posterior lateral talus measuring 4 mm which likely represents a small osteochondral defect. ADDITIONAL
1.Small osteochondral defect along the posterior lateral talus.2.Grade 3 sprain of the anterior talofibular ligament.3.Thickening of the plantar fascia suggesting plantar fasciitis.4.Tenosynovitis of the flexor tendons.