ke/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Glmn / M / 44 yrs.
Referred by : Dr. Abc Xyzangoi.
Examination : M.R.I. of the Left Ankle & Foot.

CLINICAL PROFILE :

C/O pain and swelling over the left ankle and foot since 3 years.
Left ankle was operated upon in 0000.
HP s/o pyogenic abscess (left lateral malleolus region).

EXAMINATION :

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

5 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 are hyperintense areas on the T2 Weighted, STIR and GRASS images in the subcutaneous region over the dorsal, medial and lateral aspect of the foot, around the left ankle joint and the visualized lower leg. Similar signal change is also seen posteriorly. This is hypointense to fat on the T1 Weighted images and may represent edema/inflammatory changes.

A calcaneal spur is seen. Also seen are a few hyperintense well-circumscribed areas on the GRASS and T2 Weighted images
within the inferior aspect of the calcaneum and these may represent subarticular cysts.

The rest of the visualized bones show normal signal intensity.
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The visualized tendons and ligament show normal signal intensity. No joint effusion is evident.

IMPRESSION :

Areas of altered signal in the subcutaneous region around the foot, around the ankle joint and the visualized lower leg as described and these may represent edema/inflammatory changes.