Oberes Sprunggelenk
moderate confidenceAllenfalls minimaler Erguss im oberen Sprunggelenk
In plain words: Es findet sich höchstens eine sehr geringe Flüssigkeitsansammlung im Gelenk, die auf eine leichte Reizung hinweisen kann.
MRT des rechten oberen Sprunggelenks bei chronisch wiederkehrenden Beschwerden. Insgesamt weitgehend unauffälliger Befund mit allenfalls minimalem Gelenkerguss und einem leicht gereizt wirkenden vorderen Außenband. Zum Ausschluss einer rheumatoiden Erkrankung wird geraten.
Severity reflects your radiologist's own wording — not an AI judgment.
New or worsening symptoms? Contact your doctor promptly, whatever this summary says.
Allenfalls minimaler Erguss im oberen Sprunggelenk
In plain words: Es findet sich höchstens eine sehr geringe Flüssigkeitsansammlung im Gelenk, die auf eine leichte Reizung hinweisen kann.
Leichte Signalanhebung, minimal gereizt wirkend
In plain words: Das vordere Außenband des Sprunggelenks zeigt ein leicht verändertes Signal, was auf eine geringfügige Reizung des Bandes hindeutet.
Regelrechte Stellung der knöchernen Anteile, kein Knochenmarködem, glatt berandete Gelenkflächen
In plain words: Die Knochen stehen korrekt, zeigen keine Flüssigkeitsansammlung im Inneren (Ödem) und haben glatte Gelenkoberflächen – ein unauffälliger Befund.
Unauffällig
In plain words: Die restlichen Bänder des Sprunggelenks sind ohne krankhafte Veränderungen.
Intakt
In plain words: Die Gelenke und Bänder im Bereich der Fußwurzel sind unversehrt.
Regelrecht
In plain words: Die umliegenden Muskeln sind normal dargestellt.
Regelrecht verlaufend
In plain words: Die Achillessehne verläuft normal und zeigt keine Auffälligkeiten.
Reizlos
In plain words: Die Sehnenplatte an der Fußsohle zeigt keine Zeichen einer Reizung oder Entzündung.
Kein Fersensporn
In plain words: Es findet sich kein knöcherner Auswuchs am Fersenbein (Fersensporn).
Severity reflects the AI reading's own wording — it is not a diagnosis, and not your radiologist's opinion.
New or worsening symptoms? Contact your doctor promptly, whatever this summary says.
The low-signal Achilles tendon band is broadened and thickened over its distal portion as it approaches the posterior calcaneus, with loss of the normal thin tapering contour at the insertion. This is the most significant finding of this series because it is a change in a weight-bearing tendon directly at the symptomatic insertion, outranking the purely bony contour prominence which involves no soft-tissue continuity loss.
The posterosuperior corner of the calcaneus forms a rounded bony prominence projecting toward the overlying distal Achilles tendon, narrowing the retrocalcaneal interval between the bone and the tendon.
The normally uniform bright fat anterior to the Achilles tendon shows a region of darker, less homogeneous signal at its lower posterior aspect adjacent to the retrocalcaneal recess, differing from the smooth high signal of the remaining fat pad.
A lobulated high-signal fluid collection lies in the fat plane behind the posterior cortex of the bone and immediately anterior/deep to the low-signal Achilles tendon. It is brightest on the fat-suppressed images and displaces the adjacent fat, effacing the normal triangular fat plane in this region. This is the most significant finding of the series because it is an abnormal fluid accumulation that distorts the neighbouring fat and abuts the tendon, outranking the more diffuse edema elsewhere.
Patchy, ill-defined high (fluid-bright) signal within the subcutaneous fat plane at the plantar and posterior aspect of the calcaneus, standing out against the darker suppressed fat around it; this is the most significant finding of this series because it is a focal signal abnormality in the soft tissues whereas the adjacent bones retain their expected intermediate marrow signal. The signal abuts the inferior/posterior calcaneal cortex without a discrete displaced fragment.
On the most posterior slices the calcaneal body appears as a rounded structure with mildly heterogeneous internal signal and a thin bright rim of adjacent soft tissue at its postero-inferior margin. This is the most significant finding of this series because it localizes the soft-tissue fluid signal to the structure and region of clinical concern, whereas the other signal changes are faint and diffuse.
Patchy regions of mildly increased signal within the marrow of the large hindfoot bone adjacent to the posterior collection, with the fatty marrow otherwise suppressed to intermediate-low signal.
A thin curvilinear bright fluid signal outlines the tibiotalar articular surface, indicating a joint effusion distending the anterior and central recesses.
The marrow of the distal tibial metaphysis shows heterogeneous patchy increased signal relative to the more uniform intermediate signal of the proximal shaft, extending toward the distal articular region.
On these coronal slices, no abnormality was seen in: the distal tibia and fibula and their articular cortices, the talar dome and the ankle mortise joint space, the subtalar joint surfaces, the visible tarsal bones and their marrow signal, and the medial soft-tissue structures traced on the proximal slices.
AI-assisted scan reading — not a clinical report
Issued: 2026-10-22
This document was generated by artificial intelligence from the scan images. It is an explanatory aid, NOT a diagnosis and NOT a substitute for a radiologist report. Always discuss it with your doctor.
Whole-exam read: 4 of 4 series, 115 representative slices in total.
This MRI looked at the back of your heel, the Achilles tendon where it attaches to the heel bone, and the surrounding soft tissues and bones. The most consistent findings were a collection of fluid in the fat plane just in front of (deep to) the Achilles tendon behind the heel bone, and fluid-type signal in the soft tissue under the skin at the back and bottom of the heel. A few other possible changes were noted by only one of the readers who looked at the images, so those are much less certain.
In general terms, extra fluid-type signal and swelling in the soft tissues at the back of the heel — both deep to the Achilles tendon and under the skin — can reflect irritation or inflammation in that area, which fits with the kind of symptoms many people describe there. A tendon that looks thickened at its attachment, together with a rounded bony bump at the back corner of the heel bone, are the sorts of features that can be linked to mechanical irritation where the tendon meets the bone, but this report cannot by itself confirm a specific diagnosis, and several of these observations were noted by only some of the readers. The findings that all readers agreed on (the fluid behind the heel bone and under the skin) are the most dependable; the single-reader findings (such as possible marrow signal changes and a small ankle joint effusion) are much less certain and may simply not hold up. Only your doctor, looking at the whole picture including an exam, can tell you what these mean for you, so it is worth reviewing them together — and promptly if your pain, redness, warmth, or swelling are getting worse.
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Read Your Scan
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