Achilles tendinosis - severe
Posterior ankle pain.
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Severe Achilles non-insertional tendinosis, with thickening up to 15 mm in AP dimension. This involves almost the whole length of the Achilles tendon. Milder insertional tendinosis with moderate-sized enthesophyte at the posterior calcaneus. Moderate paratendon edema. Preserved Kager fat pad. No tear. No retrocalcaneal or retro-Achilles bursal effusion.
No acute tear to the lateral, syndesmotic, deltoid, and spring ligamentous complex.
No tendon tear.
No osseous coalition. No exaggerated focal chondral wear, abnormal subchondral marrow signal, or osteochondral lesion, including talar dome.
Moderate degenerative changes at the 1st MTPJ with moderate joint effusion
Small plantar calcaneal spur, and thickening of the plantar fascia origin.
Severe Achilles tendinosis involving almost the entire length of the tendon but without a tear or associated bursitis.