{"id":"69a2302fefd4f1d91750404f","name":"MRI Ankle - Comprehensive Protocol","slug":"mri-ankle-comprehensive-protocol","description":"Structured template for MRI imaging of the ankle without contrast, covering tendons, ligaments, joints, and soft tissues.","category":{"modality":"MRI","system":"MSK"},"tags":["ankle","mri","tendons","ligaments","no contrast","musculoskeletal"],"sections":{"title":{"defaultText":"MRI Ankle Without Contrast","aiInstructions":"Use the exact exam title from the report. Standard format is 'MRI [Body Part] [With/Without Contrast]'."},"clinicalHistory":{"defaultText":"[Patient-specific — populated at report time]","aiInstructions":"Ask the user for: patient age, sex, presenting complaint, relevant clinical history, and reason for the exam. This section contextualizes the entire report. Always include it."},"comparison":{"defaultText":"No prior studies available for comparison.","aiInstructions":"Check the PRIOR STUDY field. If prior studies are mentioned, describe them specifically. Otherwise, use default text."},"technique":{"defaultText":"Multiplanar MRI images of the ankle were obtained without intravenous contrast.","aiInstructions":"Extract technique details from the TECHNIQUE section. Include imaging planes, contrast administration, and any special protocols used."},"findings":{"defaultText":"Detailed evaluation of the ankle structures as follows:","aiInstructions":"This section organizes findings by anatomical region. Present findings in a logical anatomical sequence. Use active voice and clear descriptive language.","fields":[{"name":"Posterior Tibialis Tendon","defaultText":"The posterior tibialis tendon is normal without tendinosis, tenosynovitis, subluxation, or tear.","aiInstructions":"Document tendon caliber, signal intensity, and any evidence of degeneration, inflammation, partial or complete tears, or subluxation."},{"name":"Flexor Digitorum Longus and Flexor Hallucis Longus Tendons","defaultText":"The flexor digitorum longus and flexor hallucis longus tendons are normal without tendinosis, tenosynovitis, subluxation, or tear.","aiInstructions":"Assess both tendons for signal abnormalities, tears, inflammation, or displacement. Note if either tendon is enlarged or edematous."},{"name":"Flexor Retinaculum and Tarsal Tunnel","defaultText":"The flexor retinaculum is normal. The tarsal tunnel is normal without inflammatory changes, mass, or evidence of compressive or entrapment neuropathy of the posterior tibial nerve.","aiInstructions":"Evaluate for tarsal tunnel syndrome findings including nerve enlargement, signal changes, or mass effect. Assess retinacular integrity."},{"name":"Peroneus Longus and Brevis Tendons","defaultText":"The peroneus longus and brevis tendons are normal without tendinosis, tenosynovitis, or tear. There is no subluxation.","aiInstructions":"Document tendon position, signal, and any evidence of subluxation or dislocation. Note peroneal tubercle anatomy."},{"name":"Peroneal Retinacula and Peroneal Trochlea","defaultText":"The superior and inferior peroneal retinacula are normal. The peroneal trochlea is normal.","aiInstructions":"Assess retinacular integrity and peroneal trochlea morphology. Note any abnormalities predisposing to tendon subluxation."},{"name":"Tibialis Anterior, Extensor Hallucis Longus, and Extensor Digitorum Longus Tendons","defaultText":"The tibialis anterior, extensor hallucis longus, and extensor digitorum longus tendons are normal.","aiInstructions":"Evaluate anterior compartment tendons for caliber, signal intensity, tears, and inflammation."},{"name":"Anterior Tarsal Tunnel","defaultText":"The anterior tarsal tunnel is normal without evidence of compressive or entrapment neuropathy of the deep peroneal nerve.","aiInstructions":"Assess for deep peroneal nerve compression or entrapment findings."},{"name":"Achilles Tendon","defaultText":"The Achilles tendon is normal with a normal teno-osseous insertion. There is no Haglund's deformity. There is no retrocalcaneal or retro-Achilles bursitis. The Kager's fat triangle is normal.","aiInstructions":"Document tendon caliber, signal, insertion site abnormalities, bursal fluid, and any degenerative changes. Assess for Haglund's deformity."},{"name":"Plantar Fascia and Heel","defaultText":"The origin of the medial, central, and lateral cords of the plantar fascia is normal without inflammation, mass, tear, or periaponeurotic edema. The intrinsic heel muscles are normal without evidence of denervation atrophy. There is no plantar calcaneal enthesophyte.","aiInstructions":"Evaluate for plantar fasciitis, tears, and heel pain syndrome. Assess intrinsic muscle signal for atrophy."},{"name":"Distal Tibiofibular Syndesmotic Complex","defaultText":"The distal tibiofibular syndesmotic complex is normal with normal anterior and posterior distal tibiofibular ligaments.","aiInstructions":"Assess syndesmotic ligaments for tears or thickening. Note any syndesmotic widening."},{"name":"Lateral Collateral Ligaments","defaultText":"The lateral collateral ligamentous complex is normal with normal anterior talofibular, calcaneofibular, and posterior talofibular ligaments.","aiInstructions":"Evaluate all three components of the lateral ligament complex for tears, signal abnormalities, or laxity."},{"name":"Deltoid Ligament","defaultText":"The tibiotalar and tibionavicular components of the deltoid ligamentous complex are normal.","aiInstructions":"Assess deltoid ligament integrity. Note any tears or signal abnormalities in the medial ligamentous structures."},{"name":"Subtalar Ligaments","defaultText":"The subtalar ligaments are normal with normal lateral talocalcaneal and interosseous talocalcaneal ligaments. The sinus tarsi is normal without mass or inflammation.","aiInstructions":"Evaluate interosseous and lateral talocalcaneal ligaments. Assess sinus tarsi for masses or inflammatory changes."},{"name":"Calcaneocuboid and Calcaneonavicular Ligaments","defaultText":"The calcaneocuboid and calcaneonavicular ligaments are normal.","aiInstructions":"Document the status of these midfoot ligaments."},{"name":"Tibiotalar Articulation","defaultText":"The tibiotalar articulation is normal with no talar dome osteochondral defect lesion or arthrosis.","aiInstructions":"Assess for cartilage loss, osteochondral lesions, loose bodies, and degenerative changes."},{"name":"Talonavicular, Subtalar, and Calcaneocuboid Articulations","defaultText":"The talonavicular, subtalar, and calcaneocuboid articulations are normal without arthrosis. The anterior-superior calcaneal process is normal.","aiInstructions":"Evaluate midfoot and hindfoot joints for degenerative changes, cartilage loss, and alignment."},{"name":"Bone Marrow","defaultText":"The bone marrow signal of the tarsal bones is normal with normal anterior-superior calcaneal process. The visualized proximal metatarsals, distal tibia, and distal fibula show normal marrow signal.","aiInstructions":"Assess for marrow edema, signal abnormalities, or pathologic processes. Note any focal lesions."},{"name":"Joint Effusions and Loose Bodies","defaultText":"There are no joint effusions. There are no intraarticular osteochondral loose bodies.","aiInstructions":"Document presence or absence of effusions in major joints. Note any loose bodies."},{"name":"Soft Tissues","defaultText":"There are no extra-articular soft tissue masses or cysts. The subcutaneous adipose space is normal.","aiInstructions":"Assess for masses, cysts, or abnormal soft tissue signal. Document subcutaneous edema if present."}]},"impression":{"defaultText":"Normal MRI examination of the ankle. No evidence of tendon pathology, ligamentous injury, joint abnormality, or mass.","aiInstructions":"Summarize the key findings concisely. Include any significant abnormalities identified. State whether findings are normal or describe pathology. Provide clinical correlation if relevant. Avoid redundancy with findings section."}},"aiUsageInstructions":{"summary":"Use this template to generate a complete MRI Ankle - Comprehensive Protocol radiology report.","steps":["1. Collect patient clinical history from the user (age, sex, clinical indication).","2. Confirm whether prior studies are available for comparison.","3. For the Technique section, use defaultText or adapt based on actual acquisition parameters.","4. For each field in sections.findings.fields: ask the user for the finding or infer from clinical context. Use defaultText if the structure is normal.","5. Generate the Impression by summarizing the most significant findings from step 4.","6. Use the aiInstructions for each section to guide the depth and format of the content.","7. Maintain formal radiology report language throughout. Passive voice preferred.","8. If any finding is abnormal, quantify it with measurements and describe its imaging characteristics."],"language":"Formal radiology report language. Passive voice preferred. Avoid first-person pronouns.","format":"Numbered impression list. Prose findings paragraphs or structured field-by-field format both acceptable.","units":"Report measurements in centimeters (cm) for masses, millimeters (mm) for small structures."},"meta":{"canonicalUrl":"https://radiluxreports.com/templates/mri-ankle-comprehensive-protocol","claudeApiUrl":"https://radiluxreports.com/templates/api/claude/mri-ankle-comprehensive-protocol","useInDashboardUrl":"https://radiluxreports.com/?templateId=69a2302fefd4f1d91750404f","apiUrl":"https://radiluxreports.com/templates/api/mri-ankle-comprehensive-protocol","updatedAt":"2026-03-01T00:12:14.763Z","license":"Free for clinical and educational use. Attribution appreciated."}}