Severe pain at back of heel, right greater than left.
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On the right there is bony enlargement at the posterosuperior aspect of calcaneum consistent with Haglund deformity. Marked surrounding soft-tissue oedema corresponding to insertional Achilles tendonosis and retrocalcaneal burisits consistent with Haglund's syndrome. Faint Achilles insertion calcification is noted. Similar but less severe insertional tendinosis and calcification is seen on the left without a Haglund deformity.