Left ankle x-ray:Case Photo #1 No definite fracture. Findings suggesting ankle joint effusion and/or synovitis. Lateral soft tissue swelling is present.
Left ankle MRI:Case Photo #2, Case Photo #3, Case Photo #4, Case Photo #5 Tear of the superior peroneal retinaculum with dislocation of the peroneus longus anterior to the fibula. Thickening and intermediate signal within the peroneus longus tendon at the level of the lateral malleolus, without full thickness tendon tear. Longitudinal split tear of the peroneus brevis at the level of the malleolus. Incidentally noted prominent accessory muscle, the peroneus quartus which appears to insert on the lateral aspect of the calcaneus.
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