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MRI Ankle - Comprehensive Protocol General
Structured template for MRI imaging of the ankle without contrast, covering tendons, ligaments, joints, and soft tissues.
MRIMSK
Title
MRI Ankle Without Contrast
Clinical History
Patient-specific — populated from user input at report time. Shows "None" if not provided.
Comparison
No prior studies available for comparison.
Technique
Multiplanar MRI images of the ankle were obtained without intravenous contrast.
Findings
Detailed evaluation of the ankle structures as follows:
Posterior Tibialis Tendon
The posterior tibialis tendon is normal without tendinosis, tenosynovitis, subluxation, or tear.
Flexor Digitorum Longus and Flexor Hallucis Longus Tendons
The flexor digitorum longus and flexor hallucis longus tendons are normal without tendinosis, tenosynovitis, subluxation, or tear.
Flexor Retinaculum and Tarsal Tunnel
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.
Peroneus Longus and Brevis Tendons
The peroneus longus and brevis tendons are normal without tendinosis, tenosynovitis, or tear. There is no subluxation.
Peroneal Retinacula and Peroneal Trochlea
The superior and inferior peroneal retinacula are normal. The peroneal trochlea is normal.
Tibialis Anterior, Extensor Hallucis Longus, and Extensor Digitorum Longus Tendons
The tibialis anterior, extensor hallucis longus, and extensor digitorum longus tendons are normal.
Anterior Tarsal Tunnel
The anterior tarsal tunnel is normal without evidence of compressive or entrapment neuropathy of the deep peroneal nerve.
Achilles Tendon
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.
Plantar Fascia and Heel
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.
Distal Tibiofibular Syndesmotic Complex
The distal tibiofibular syndesmotic complex is normal with normal anterior and posterior distal tibiofibular ligaments.
Lateral Collateral Ligaments
The lateral collateral ligamentous complex is normal with normal anterior talofibular, calcaneofibular, and posterior talofibular ligaments.
Deltoid Ligament
The tibiotalar and tibionavicular components of the deltoid ligamentous complex are normal.
Subtalar Ligaments
The subtalar ligaments are normal with normal lateral talocalcaneal and interosseous talocalcaneal ligaments. The sinus tarsi is normal without mass or inflammation.
Calcaneocuboid and Calcaneonavicular Ligaments
The calcaneocuboid and calcaneonavicular ligaments are normal.
Tibiotalar Articulation
The tibiotalar articulation is normal with no talar dome osteochondral defect lesion or arthrosis.
Talonavicular, Subtalar, and Calcaneocuboid Articulations
The talonavicular, subtalar, and calcaneocuboid articulations are normal without arthrosis. The anterior-superior calcaneal process is normal.
Bone Marrow
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.
Joint Effusions and Loose Bodies
There are no joint effusions. There are no intraarticular osteochondral loose bodies.
Soft Tissues
There are no extra-articular soft tissue masses or cysts. The subcutaneous adipose space is normal.
Impression
Normal MRI examination of the ankle. No evidence of tendon pathology, ligamentous injury, joint abnormality, or mass.
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