MRI Right Ankle

[alittlehelpplease868]

Can someone please help me understand my MRI results on my right ankle. Here is the written report, unfortunately my Doctor is out of the office until July 16th on vacation and I'd like to be able to understand my report a little better.

Report:

Bones: There is diffuse bone marrow edema of the navicular bone. A mild, liear, T1 hypointense signal abnormality is seen in the distal aspect of the navicular bone, which could represent a nondisplaced fracture line. Mild subchondral bone marrow edema is also noted in the talar head with mild subchondral sclerosis at this level. Mild bone marrow edema is noted at the distal and of the medial cuneiform bone with mild osteophytosis and minimal subchondral cyst formation at this level.

Joint: There is no malalignment or joint effusion.

Tendons: Mild signal abnormality is seen of the peroneus brevis and longus tendons at a level lateral to the calcaneun. The Achilles, posterior tibialis, flexor hallucis longus, flexor digitorum longus, peroneus brevis and longus, and the 3 extensor tendons are otherwise unremarkable.

Ligaments: Evaluation is limited due to motion artifact. The deltoid, anterior talofibular, posterior talofibular, and calcaneofibular ligaments and the interosseous ligaments show no evidence of rupture. The spring ligament complex is not well-seen.

Plantar Fascia: No abnormal thickness or edema is seen of the plantar aponeurosis.

Sinus Tarsi: A small amount of fluid is seen in the sinus tarsi.

Impression:
1. Diffuse bone marrow edema of the navicular, with a minimal, nondisplaced fracture line at the anterior subchondral aspect of the navicular. The findings could be due to stress injury or early avascular necrosis. Nondisplaced fractures.
2. Mild subchondral bone marrow edema, likely representing degenerative change, at the anterior aspect of the medial cuneiform bone and, minimally, at the talar head.
3. Fluid within the sinus tarsi, which can be seen in the sinus tarsi syndrom. Clinical correlation would be helpful.,
4. Mild peroneus brevis and longus tendinopathy.

**My question is, "Do I have a fracture of the foot/ankle?"

[Londres70]

Sure hope you are seeing an Ortho Specialist for this.

To add....you shouldn't be doing too much at this time until this is sorted.  

All the best.  

[alittlehelpplease868]

I appreciate your response. Runner....absolutely not, use to be into heavy weight lifting for a number of years but I've been forced to set the weights down due to multiple injuries (torn rotator cuff, dislocated wrist joint, etc.) Not too sure what's going on with this whole ankle thing??? Hopefully things get better soon.

[Londres70]

Sounds like you have a stress fracture (small crack) in regards to the navicular bone related to overuse or some type of stress on the bone.  To add....bone weakening (degenerative change) in regards to the cuneiform bone and tendon issues with the peroneus brevis and longus muscles. Swelling as well.  

Your ankle and the top of your foot is a mess.  Are you an advid runner or doing some heavy sporting?