Severe osteoarthropathy of the talonavicular as well as calcaneocuboid articulations. Disorganisation and 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 oedema 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 oedema as well.
Mild osteoarthropathy of the 2nd through 4th tarsometatarsal joints with subchondral sclerosis, small subchondral cystic changes and small osteophytosis.
Mild tibiotalar as well as subtalar joint effusion.
The anterior talofibular 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 intrasubstance 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 bony calcaneal spur/enthesopathy.
Maintained Lisfranc alignment.
Diffuse skin and subcutaneous oedema is noted; with no ulcer formation, sinus tracts or MRI evidence of osteomyelitis.