hi guys, i recently got my report from my MRI i had a week ago. I have an orthopaedic appointment in 4 weeks time.
I was wondering if anyone on here can shed some light in to my results as the talk in my report is Jargon to me lol. heres my report:
R MRI ANKLE RT
-MRI Ankle Rt
-Clinical History :
-Please see request form.
-MRI Ankle Rt :
-Reference is made to the plain radiographs of the right
-ankle dated 23.8.11.
-There is an ovoid subcortical low signal focus in the
-posteromedial aspect of the the talar dome. This focus
-measures approximately 1.3 x 0.6cm (seen on the Tl- weighted
-sagittal sequence, Image 6 and axial sequence images 13-15} .
-On the corresponding STIR and PD- weighted sequences, there
-is high signal throughout the extent of the abovementioned
-focus. The high signal appears to be due to a conglomerate
-of small degenerative cysts in keeping with OA. The
-appearances are not typical for talar AVN or an
-osteochondral abnormality. No bone marrow oedema is evident
-in the talus or elsewhere in the region of the ankle/hind
-foot. No intra-articular loose body is demonstrated.
-Subchondral low signal is seen along the distal tibial
-articular surface. This finding is also in keeping with OA.
-There is a moderate ankle joint effusion. An effusion is
-also noted in the posterior subtalar joint.
-No intrinsic tendon abnormality is seen. There is fluid
-surrounding the flexor hallucis longus tendon. However, this
-finding must be interpreted with caution, as the sheath of
-this tendon communicates directly with the ankle joint. This
-finding is therefore more likely to be a normal variant.
-Appearances of the remaining tendons in the ankle and
-hindfoot are normal.
-With regard to the ankle ligaments, some of the fibres of
-the posterior talofibular ligament are thick, irregular and
-disrupted. However, no gross ligament rupture is seen. The
-remaining ligaments in the region of the ankle and hindfoot
-are intact and largely normal.
-Normal plantar fascia and heel pad
-Conclusion: There are secondary OA changes affecting the
-ankle mortice. There is also an abnormality of the posterior
-talofibular ligament as described.
-An orthopaedic opinion is advised.
Well, it gives you a conclusion of the findings at the end. Basically, you have findings significant with osteoarthritis within the ankle joint with the possibility of an osteochondral lesion. An osteochondral lesion is an area of damage to the cartilage and underlying bone. Since there is no bone marrow edema (swelling or fluid in the bone) in the bones of the ankle joint, it is most likely cartilage damage from arthritis.
There is also an abnormality of a posterior ankle ligament (ligament in the back of the ankle), but the findings are significant with scar tissue and not a recent injury.
All of these findings mean nothing if your pain doesn't correlate. If your pain is in the ankle, it seems to be secondary to osteoarthritis. Why was the MRI performed?
Thanks for the quick reply i appreciate it. Basically the MRI has been performed as I hurt my ankle about 15months ago whilst i was travelling and only now that i am back can afford to get it sorted. this has been causing me a lot of grief for over a year. My ankle feels unstable, and if im on my feet too long the swelling and pain increases. The majority of the pain is in the back of my ankle.
Since you pointed out that the pain is in the back of your ankle, it would be informative to point out that the MRI picked up inflammation around one of the tendons that runs behind the ankle. Occasionally inflammation will be seen here, but it is not the area that has pain.
Since your pain is in the back of your ankle, the physician should try to focus on two findings on the MRI
1) The possible cartilage lesion in the posterior medial talus (back, inside area of one of the ankle bones)
2) The inflammation of the flexor hallucis longus tendon (the tendon running immediately behind the ankle)
If generalized arthritis was the cause of pain, it would most likely cause more pain throughout the ankle and some more pain in the front than the back. It doesn't completely rule it out, but since your pain is in the back of your ankle, it is most likely a specific lesion or injury.