Reason: PTT rupture History: Pain TENDONS: There is abnormal T2 signal hyperintensity surrounding the posterior tibialis tendon at the level of the medial malleolus, indicating tenosynovitis, but the tendon remains intact throughout its course. There is a split tear of the peroneal brevis tendon. The remainder of the flexor and extensor tendons are intact.LIGAMENTS: The ligaments are intact.ARTICULAR SURFACES AND BONE: Bone marrow signal is within normal limits. There is a type II accessory navicular. The ankle mortise is intact. There is mild degenerative spurring at the tibiotalar and subtalar joints.ADDITIONAL
1.Mild tenosynovitis of the posterior tibialis tendon which remains intact throughout its course.2.Split tear of the peroneal brevis tendon.3.Mild degenerative changes in the hindfoot.4.Small joint effusion and mild edema in the subcutaneous tissues.