Large bony spur at the Achilles insertion. It is separated from the calcaneum although there is bone marrow oedema in the spur and at its articulation with the calcaneum (arrow). Minor tendinopathy in the superficial fibers of the Achilles at the spur insertion (arrow) and cyst formation at the deeper Achilles insertion onto the calcaneum (arrow). No retrocalcaneal bursitis.