Date : 00.00.00
Name of the Patient : Abc XyzShlmn / M / 70 yrs.
Referred by : Dr. Abc Xyzndukwala.
Examination : M.R.I. of the Right Ankle.
CLINICAL PROFILE :
C/O pain and swelling over the right ankle region since 4 months.
M.R.I. of the right ankle was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS (with fat saturation) sagittal images.
Areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and GRASS images are seen to involve the intermediate cuneiform bone and proximal aspect of the visualized second metatarsal. Hyperintense areas on the GRASS images are seen within the dorsum of the foot, more so proximally and would represent cellulitis/inflammatory changes.
Well-circumscribed hypointense areas in the subarticular portion of the talus and tibia on the T1 Weighted images which are seen to turn hyperintense on the T2 Weighted, STIR and GRASS images are made note of and may represent cystic changes.
Minimal fluid is seen within the right ankle joint
There appears to be slight thinning of the cortical bone of the calcaneum adjacent to the talo-calcaneal joint.
The MRI features are suggestive of altered signal involving the intermediate cuneiform bone and proximal aspect of the visualized second metatarsal may represent inflammatory/infective changes (? tuberculous/pyogenic/fungal).