47-year-old female with pain TENDONS: The posterior tibial tendon appears slightly thickened without discrete abnormal signal or fluid-filled tear, just prior to the insertion. This may represent old scarring or, at worst, mild tendinopathy. The remaining tendons are within normal limits.LIGAMENTS: The anterior talofibular ligament, posterior talofibular ligament, and calcaneofibular ligament are intact. The spring ligament and deltoid ligament are intact.ARTICULAR SURFACES AND BONE: Mild osteoarthritis with subchondral cysts affect the first MTP joint.ADDITIONAL
1.Slight thickening of the posterior tibial tendon without discrete abnormal signal or fluid-filled tear may represent old scarring or, at worst, mild tendinopathy.2.Mild osteoarthritis affects the first MTP joint.