sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Harlmn / M / 58 yrs.
Referred by : Dr. Abc Xyznshah.
Examination : M.R.I. of the Right Ankle & Foot.

CLINICAL PROFILE :

C/O pain in the right ankle with swelling since 00.00.00.
H/O spraining the right ankle 10 days back.

EXAMINATION :

M.R.I. of the right 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, proton and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

The visualized bones of the right ankle joint show normal alignment and signal intensity. No obvious bone destruction or erosion is evident.

There appears to be a complete tear of the perenous longus tendon just distal to the lateral malleolus with fraying and retraction. The tendon in the region of the cuboid is seen.

There is seen an intrasubstance, intermediate signal on the T1 Weighted images within the proximal segment of the tendon of the perenous longus muscle at the level of the lateral malleolus. This signal appears hyperintense on the T2 Weighted and STIR images. The tendinous sheath around the peronii tendons also shows evidence of fluid within.

The subcutaneous tissues around the right ankle joint show a hyperintense signal on the T2 Weighted and STIR images which may suggest soft tissue edema/contusion. Hyperintense signal is also noted in the fat planes around the plantar muscles.
..2/.



The ligaments around the right ankle joint are unremarkable. Minimal fluid is noted in the tibio-talar joint.

IMPRESSION :

The MRI features suggestive of a tear of the perenous longus muscle of the right ankle joint. This is most likely complete.