Presentation
Female with chronic stabbing pain at the bottom of the heel.
Patient Data
Increased T2 signal intensity and thickening of the proximal insertion of the plantar fascia and the plantar at the adjacent soft tissues, with no evidence of tear or subchondral bone marrow edema.
Mild increased T2 signal intensity within the Achilles tendon consistent with intrasubstance degeneration, no tears. Small fluid distention of the retrocalcaneal bursa.
There is a well-defined, oval-shaped lipomatous mass most likely representing a benign lipoma, within the subcutaneous soft tissues of the plantar and medial aspect of the hindfoot
Small joint effusion at the first metacarpophalangeal joint. Minimal degenerative changes at the dorsal aspect of the talar navicular joint.
Case Discussion
MR images demonstrate typical changes of mild plantar fasciitis.