Reason: pain eval for Avn History: pain TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is normal in appearance.LIGAMENTS: The distal tibiofibular syndesmotic complex appears intact. The lateral collateral ligament complex appears intact. The imaged components of the deltoid ligament appear intact.ARTICULAR SURFACES AND BONE: There is minimal heterogeneous bone marrow signal abnormality along the anterior aspect of the distal tibia which may represent stress reaction in the correct clinical context. There is linear decreased signal abnormality within the medullary cavity along the anterior aspect of the distal tibial metaphysis in the surrounding area, however, no definite cortical disruption/extension is identified. No additional bone marrow signal abnormality is identified. No findings to suggest avascular necrosis. No osteochondral defects are identified. ADDITIONAL
1. Bone marrow signal abnormality/edema along the anterior aspect of the distal tibial metaphysis may reflect stress reaction in the correct clinical context. If further imaging evaluation is clinically warranted, follow-up radiographs could be considered.2. Small subtalar joint effusion of uncertain current clinical significance. 