44-year-old female with ankle pain. Evaluate insertional Achilles tendinitis. TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. There is thickening and increased signal abnormality within the distal Achilles tendon just proximal to its insertion on the calcaneus consistent with mild to moderate tendinosis. The Achilles tendon appears intact. There is enthesophyte formation along the posterior aspect of the calcaneus.LIGAMENTS: The lateral collateral ligament complex and distal tibiofibular syndesmosis appear intact. The visualized portion of the deltoid ligament appears intact. ARTICULAR SURFACES AND BONE: Incidental note is made of an os trigonum. There is a small amount of fluid within the subtalar joint. There is a small amount of fluid within the tibiotalar joint. There is a plantar calcaneal heel spur.ADDITIONAL
Findings consistent with mild to moderate tendinosis of the distal Achilles tendon, which appears intact. Other findings as described above.