A patient presented with pain and instability of the ankle. During physical examination it was revealed that the ankle pain was chronic and not healing for more than a year post-trauma. The patient experienced instability, weakness and a decreased range of  motion compared to the opposite ankle. The physician ordered a 3T MRI to include specialty sequences utilizing a dedicated specialty 8-channel ski-boot foot and ankle coil. Extremely high resolution images were obtained which aided the subspecialty  radiologist’s diagnosis of multiple pathologies including “cortical thickening of the calcaneus at Gissanes angle”. Images representative of the study are presented below with pathology clearly labeled and annotated.


1. Hindfoot valgus with midfoot sag with resulting subfibular impingement as evidenced by soft tissue edema inferior to the fibula, cortical thickening of the calcaneus at Gissanes angle, edema within the lateral aspect of the tarsal sinus. Intact posterior tibial tendon and spring ligament.

2. Tearing of the peroneus brevis and peroneus longus tendons at the fibular tip and proximal to the cuboid groove, respectively. Peroneal tenosynovitis.

3. Remote osteochondral lesion of the proximal aspect of the navicular bone secondary to prior injury. Superimposed talonavicular secondary osteoarthritis.

4. Moderate tibiotalar joint effusion with communication with the posterior subtalar joint.

We Are Still Open For Your Imaging Needs

Due to current concerns regarding COVID-19, we want to assure you and your patients that we are taking every extra measure to provide the highest quality advanced diagnostic imaging all the while keeping our patients and the community safe.

Hospitals are now restricting any advanced imaging. We are a small independent facility that is able to maintain high levels of sanitation and limit the number of patients in our office at one time.

We are completely sterilizing the office and equipment after every patient.

We have restricted all visitors.

We have adjusted our lobby so that we can ensure multiple patients are not in the office at the same time

We are adhering to strict social distancing guidelines.

We are screening patients and requesting patients with fevers or flu symptoms, been in contact with someone suspected to have the coronavirus or anyone that has traveled to an affected region to please call and cancel/reschedule their appointment.

We are updating our policies daily to coincide with the strictest of measures.

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