There is very subtle bone marrow edema involving the inferior most portion of the calcaneus in a subcortical location.
This involves the area of the plantar fascia origin, however, it also involves bone 3 cm anterior to this point and there is subtle deep soft tissue edema at the surface of the inferior calcaneus.
The plantar fascia is not involved. It has a normal low signal intensity appearance and a normal thickness. What is present in the calcaneus appears to be a bone contusion or stress reaction of the bone. There is also a second area of mild bone marrow edema in the anterior process of the calcaneus.
It also could be a stress reaction of bone or bone marrow contusion. Elsewhere the regional bone marrow signal is normal. There is suggestion of the pes cavus deformity, however, this would need to be confirmed on a standing lateral x-ray.
The anterior and posterior talofibular, the calcaneofibular, and the deltoid ligaments are intact. The plantar fascia and the Achilles tendon are normal. The various tendons crossing the ankle anteriorly, medially, and letrally, are intact.
The talar dome has a normal appearance with intact cartilage.
1 comment:
Thanks for the clarification, it seems so simple now that you've put it that way.
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