Reason: achilles tendinosis? Please check 4-5 cm proximal to insertion History: pain TENDONS: There is minimal thickening of the Achilles tendon approximately 3 cm proximal to the level of its insertion indicating a mild tendinosis. The Achilles tendon appears intact. There is increased signal abnormality on fluid sensitive sequences along the anterior aspect of the distal Achilles tendon indicating a paratenonitis. A skin marker is present in the overlying area presumably representing the patient's area of concern. There is minimal intermediate signal intensity within the peroneus longus tendon as it courses beneath the cuboid indicating a mild tendinosis. The peroneal tendons appear intact. The flexor and extensor tendons appear intactLIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex appears intact. The imaged components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is a small focus of edema within the superomedial aspect of the talar dome which may reflect degenerative change or perhaps a chronic osteochondral defect. Otherwise no bone marrow signal abnormalities identified.ADDITIONAL
1. Findings indicating a paratenonitis of the Achilles tendon as well as mild tendinosis of an intact Achilles tendon.2. Edema within the superomedial aspect of the talar dome may reflect subchondral cyst formation or a chronic osteochondral defect.3. Other findings as described above.