Reason: possible achilles rupture History: right achilles pain - rule out tendon tear TENDONS: There is complete rupture of the Achilles tendon approximately 5 cm proximal to its insertion on the calcaneus. There is a gap of approximately 3 to 4 cm between the distal fibers of the Achilles tendon and the retracted proximal fibers, which contains heterogeneous signal intensity that likely represents a combination of fluid, blood products, and perhaps granulation tissue. The Achilles tendon itself appears slightly thickened which likely represents underlying tendinosis. The remaining ankle tendons appear intact.LIGAMENTS: The lateral collateral ligament complex appears intact. The distal tibiofibular syndesmotic complex and imaged components of the deltoid ligament are grossly intact.ARTICULAR SURFACES AND BONE: Mild osteoarthritis affects the ankle and midfoot articulations. We see no osteochondral defects.ADDITIONAL
Achilles tendon rupture and other findings as described above.