Female, 54 years old. Posterior medial ankle and lower leg pain. TENDONS: There is globular signal within the anterior aspect of the Achilles tendon measuring up to 4 cm in longitudinal dimension and leading to tendon thickening of up to 1.3 cm in AP dimension. No discrete fluid-filled tear is identified. There is minimal surrounding edema in the soft tissues adjacent to the distal Achilles tendon, but the insertion is intact.LIGAMENTS: The ligaments of the ankle are intact.ARTICULAR SURFACES AND BONE: Bone marrow signal intensity is normal. ADDITIONAL
Achilles tendon thickening compatible with tendinopathy without discrete tear identified.