Right ankle MRI Results are in

 

Study Result

Impression

1. 8mm osteochondral lesion of the right lateral talar dome with
associated subchondral cystic change, subchondral marrow edema
overlying full-thickness chondrosis.

2. Large right tibiotalar and subtalar joint effusion with ankle
synovitis.

3. Chronic sprain of the right anterior talofibular ligament.

4. Small focus of heterotopic ossification within the anterior
tibiofibular ligament that corresponds to the ossific body described
on comparison radiographs and is related to chronic injury.

Dictated by: Veer Anup Shah, M.D.

The radiology attending physician has personally reviewed this study,
and had reviewed and/or edited this written report and agrees with
it.

Electronically signed by: Travis J. Hillen, M.D.

Narrative

EXAMINATION:
1. MR right ankle and hindfoot without contrast

HISTORY: right talar dome osteochondral lesion. Evaluate for loose
body

FINDINGS: Comparison radiographs of the right ankle dated 4/10/2021
has been reviewed. MR examination of the right ankle and hindfoot is
performed with a local coil. No intravenous or intra-articular
contrast was administered for this examination. Sagittal short TR/TE
and STIR images and transverse and coronal short TR/TE and fast
spin-echo images are obtained.

Medially, the posterior tibialis, flexor hallucis and flexor
digitorum tendons are normal. The deltoid, tibial spring and spring
ligaments are normal. The tarsal tunnel is normal.

Laterally, the peroneal tendons are normal. The superior peroneal
retinaculum is intact. The syndesmosis and syndesmotic ligaments are
intact. The calcaneofibular, and posterior talofibular ligaments are
intact. There is thickening of the anterior talofibular ligament,
consistent with chronic sprain there is a small focus of heterotopic
ossification within the anterior tibiofibular ligament corresponds to
the heterotopic ossification seen on comparison radiographs.

Posteriorly, the Achilles is normal. There is trace retrocalcaneal
bursitis. Intrinsically, the calcaneus is normal without evidence of
a stress fracture. The sinus Tarsi is normal. The plantar fascia is
normal.

Anteriorly, the ankle extensors are normal. There is an 8 mm
osteochondral lesion of the lateral talar dome with subchondral
cystic change, overlying full-thickness chondrosis and subchondral
marrow edema. There is a large joint effusion with synovitis. There
is mild circumferential subcutaneous edema.