ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Jolmn / F / 58 yrs.
Referred by : Dr. Abc Xyzrankar / Dr. Abc Xyzadera
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain in the left ankle since 8 years (on & off) with inability to bear weight on the LLE.

EXAMINATION :

M.R.I. of the left ankle and foot 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 sagittal images.

OBSERVATION :

There is a fairly well-defined, lesion in the superior and the medial aspect of the dome of the talus of the left ankle which measures approximately 1.6 x 1.6 x 2.8 cms. This lesion is hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted, STIR and Gradient images. Few areas within this lesion are slightly hyperintense on the T1 Weighted images. This lesion has multiloculated appearance. There is suggestion of a break in the cortex anteriorly (se/im 103/7).

A subtle hypointense signal is seen in the cuboid bone on the T1 Weighted images which is seen to turn hyperintense on the STIR images and may represent degenerative subchondral cysts.

- 2 - Scan-00007


Hyperintense signal is seen subcutaneous region along the medial malleolus on the T2 Weighted and STIR images suggestive of edema.

The rest of the visualized bones show normal configuration and signal intensity.

The visualized tendons and ligament show normal signal intensity. No joint effusion is evident. The visualized soft tissues are unremarkable.

IMPRESSION :

The MRI features are suggestive of a fairly well-defined, lesion in the superior and the medial aspect of the dome of the talus of the left ankle measuring approximately 1.6 x 1.6 x 2.8 cms. The possibilities to be considered are,

a. Degenerative cyst.

b. GCT.

c. ABC.