sb/hs
Date : 00.00.00

Name of the Patient : Abc Xyzma P. Pislmn / F / 57 yrs.
Referred by : Dr. Abc Xyzi.
Examination :M.R.I. of the Right Ankle & Foot.

CLINICAL PROFILE :

C/O pain in the right ankle since 3 days.

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 and STIR coronal images.

4 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is evidence of a well-marginated approximately 1.0 cm diameter size hypointense signal on the T1 Weighted images in the right calcaneum, which appears hyperintense on the T2 Weighted and STIR images. Perilesional hyperintense signal on the T2 Weighted and STIR images is noted in the marrow of the calcaneum. Soft tissue lesion is also noted in the sinus tersi (? synovial thickening).

There is a well-defined approximately 3.0 x 1.5 x 2.2 cms sized hypointense lesion on the T1 weighted images in the subcutaneous fat of the right heel at the level of the insertion of the plantar aponeurosis. This lesion also appears hyperintense on the T2 Weighted and STIR images. A cystic area is also noted within this lesion. Hyperintense signal on the T2 Weighted and STIR images is noted in the talus, more so posteriorly and medially.
- 2 - Scan - 00000


The rest of the visualized bones constituting the ankle joint per se are unremarkable.

Fluid is noted in the subtalar joint and along the peroneus tendons.

IMPRESSION :

Altered signal in the right calcaneum and talus as described is not specific for a single etiology. This most likely represents osteitis. A soft tissue lesion is noted in the subcutaneous fat of the right heel which may represent a small abscess.

Tuberculous osteitis may be considered as a likely possibility.