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Severe osteo-arthropathy of the talo-navicular as well as calcaneo-cuboid articulations with disorganizations, dislocation of the articulating bones as well as destruction of the talar neck and anterosuperior portion of the talus with extensive osteophytosis and bone marrow edema demonstrating hypointense T1 as well as hyperintense T2, PD Fat Sat and STIR signal intensity with mild subchondral bone sclerosis, intra-articular loose bodies and bone debris. Rocker-bottom deformity is noted with abnormal orientation of the cuboid bone.
The calcaneus as well as the cuneiform bones shows patchy and diffuse areas of marrow edema as well.
Mild osteo-arthropathy of the 2nd through 4th tarso-metatarsal joints with subchondral sclerosis, small subchondral cystic changes and small osteophytosis.
Mild tibio-talar as well as subtalar joint effusion.
The anterior talo-fibular ligament is indistinct and likely torn. The rest of the medial and lateral collateral ligaments of the knee appear mildly thickened with increased signal intensity likely represent sprain.
Marked flexor hallucis tenosynovitis with T1 hypointense and T2 hyperintense fluid signal is seen distending its tendinous sheath. Mild tibialis posterior as well as flexor digitorum and peroneal tenosynovitis are noted as well.
Distal insertional Achilles tendonitis with intra-substance intermediate signal intensity as well as a small retrocalcaneal bursitis and mild enthesopathy related to the tendo-Achilles insertion within the calcaneus.
Evidence of plantar fasciitis with thickened medial and lateral cords of the plantar facia with increased signal intensity as well as small plantar bony calcaneal spur / enthesopathy.
Maintained LisFranc’s alignment.
Diffuse skin and subcutaneous edema is noted; with no ulcer formation, sinus tracts or definite MRI evidence of osteomyelitis.