What do my foot and ankle scans indicate?

Question

Hello doctor,

I was injured three months back when my left foot and ankle were forced inward during a test and we heard a loud pop. Since there is extreme pain, I cannot put weight or walk basically bed-bound, it has been three months. It has not changed instead gotten worse with more pops, swelling more and bruising too. Was at the beginning and it has gone down now to back again. I need help with another radiologist opinion. They said my calf and foot scans were unremarkable. I need to see if there is a change in my foot, ankle condition. Please help.

Answer 1

Hi,

Welcome to icliniq.com.

There is no area of obvious injury in the scan images (attachment removed to protect patient identity). However, due to the presence of small muscles and ligaments, it is always best to know where exactly you are having the maximum pain and review the images again. It is requested that you please upload a photo of your foot with a marking over the area of pain. I will review the images of the previous and new scan and make a detailed analysis.

It may be noted that the images are of MRI foot and lower leg. If your pain and discomfort are extending to the ankle and subtalar joint, then a MRI ankle joint is also needed.

Answer 2

Hi,

Welcome back to icliniq.com.

I have reviewed two MRI ankle scan images. There is a small amount of effusion in the lateral part of the ankle joint and has decreased in the new scan. There is suspicious mild bone contusion in the lateral malleolus area and is decreased in the new scan. The peroneus tendons in the lateral part of the ankle look normal but there a possibility of mild inflammation in the soft tissues surrounding the tendon.

Your MRI findings are of a mild nature and RICE treatment should be helping you. If there is pain during specific movements then please discuss if you need physical therapy and if you need to control physical activity at the ankle joint to allow healing.