sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain in the left ankle joint with swelling since 2 years.

EXAMINATION :

M.R.I. of the left ankle and foot was performed using the following parameters :

4 mm thick T1 Weighted and STIR axial images.

5 mm thick T1 Weighted and T2 Weighted (with fat saturation) coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is slight loss of normal contour of the head of the talus with reduction in the talonavicular joint space. An ill-defined hypointense signal on the T1 Weighted images is noted in the subchondral region in the navicular bone adjacent to the talonavicular joint. This signal appears hyperintense on the T2 Weighted and STIR images. Similar signal change is also noted in the talus and calcaneum adjacent to the posterior talo-calcaneum joint.

Fluid is noted along the left ankle joint and around the intertarsal joints. Fluid is also noted along the tendon sheath of the peronii muscles.

The sucutaneous fat around the left foot and ankle (more so, medially) shows a hyperintense signal on the T2 Weighted and STIR images suggesting subcutaneous edema.


The ankle joint per se is unremarkable. The ligaments around the left ankle joints are also unremarkable.

IMPRESSION :

Slight loss of normal contour of the head of the talus with reduction in the talonavicular joint space and altered signal in the subchondral region in the navicular bone and in the subchondral region adjacent to the posterior talocalcaneal joint as described most likely is degenerative/inflammatory in etiology. Fluid along the left ankle joint and around the intertarsal joints is ? due to synovitis. Tenosynovitis of the tendon sheaths of the peronii muscles. Subcutaneous edema/cellulitis is also noted around the left foot and ankle joint.