ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzflmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain and swelling over the left ankle since 1 month.
Known hypertensive. On Rx.

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 hyperintense signal in the subcutaneous tissues around the left ankle on the T2 Weighted and STIR images. This is hypointense on the T1 Weighted images and is suggestive of subcutaneous edema. This is seen to extend into the lower one third of the left leg. No obvious collection is identified on this study.

Minimal effusion is seen within the left ankle joint.

A small hypointense speck is noted in the talus on all the pulse sequences which would represent a bone island. The trabecular pattern within the talus and calcaneum is prominent. A small, subchondral pit is noted in the dome of the talus, posteriorly (scans 102.9, 10).



No obvious bone destruction or erosion is evident.

The visualized tendons and ligaments around the left ankle show normal signal intensity.

The left foot was further screened with 6 mm thick T1 Weighted and T2 Weighted axial images which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of cellulitis around the left ankle joint.

No other significant abnormality is detected.