Ankle pain and swelling TENDONS: There is redemonstration of enlargement and increased signal of the peroneus tendons, the extent of which appears similar to the prior exam. Further distally, the peroneus brevis tendon continues to appear thickened with increased signal although the peroneal longus tendon appears normal in caliber. Trace amount of fluid is seen within the peroneal sheath, similar to the prior exam.The Achilles tendon appears normal in caliber and signal. The medial ankle tendons appear normal; a small amount of fluid in the tibialis posterior tendon sheath is of doubtful significance. There is a type I accessory navicular. The anterior ankle tendons appear normal.LIGAMENTS: The anterior talofibular and calcaneofibular ligaments appear slightly thickened which may reflect prior sprain injury, however this is similar to the prior exam. The posterior talofibular ligament appears normal. The remaining ligaments appear similar to the prior exam.ARTICULAR SURFACES AND BONE: There is mild deformity of the posterior aspect of the distal tibial meta-epiphysis, likely representing an old healed fracture. Small osteophytes indicate mild osteoarthritis at the ankle and midfoot however there is no osteochondral defect of the talar dome. ADDITIONAL
Essentially unchanged exam when compared to the prior study of 7/3/2014. There is persistent enlargement and increased signal of the peroneus tendons reflecting tendinopathy although no full-thickness tear is identified. Additional findings are described above.