56-year-old male with history of pain near myotendinous junction. There is mild edema within the anterior central fibers of the soleus muscle at the level of the midcalf. Additionally, there is a small elongated collection of high signal intensity anterior to the soleus muscle situated between the soleus and flexor hallucis longus muscles measuring 1.5 x 0.5 cm in transverse dimensions which tracks cranially towards the soleus origin. These findings suggest a mild myofascial strain with adjacent small hematoma. The gastrocnemius muscle appears normal. We see no signal abnormality within the deep posterior, anterior, or peroneal compartment musculature. The Achilles tendon is normal. There is mild edema in the pre-Achilles fat and mild subcutaneous edema of the lower leg and ankle. The visualized portions of the medial, lateral, and anterior ankle tendons appear normal although due to modification of the study we do not see their full extent. There is a subcentimeter collection of fluid signal intensity along the posteromedial margin of the tibial plafond which may represent a small ganglion just lateral to the posterior tibial vessels. This study was not protocoled for the evaluation of the ligaments of the ankle, although the visualized portions appear intact. The bones appear normal.
Findings compatible with a mild anterior myofascial strain of the soleus with small adjacent hematoma. The Achilles tendon is normal.