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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi Dotor, I Am 61 Yrs Of Age And Was

Hi Dotor,

I am 61 yrs of age and was recently admitted in hospital with pneumonia.

Whilst in the hospital, I was sent for a MRI done on my right foot because of excessive swelling of my ankles.... results as follows:

There is a prominent stieda process noted. A transverse curvilenear hypointense area is noted extending inferiorly towards the calcaneus. An adjacent prominent superior articular surface of the calcanealtuberositas is noted. This posterior lateral articulation demonstrate extensive irregularity and subarticular cyst formation. Bone marrow oedema is noted in the adjacent subarticular bony elements. A superior lateral loculated collection of fluid is noted. This fluid collection appears to be contiguous with the medial tendinous compartment. A copious amount of fluid is also noted surrounding the muscular tendinous junction of the posterior tibialis tendon.

COMMENT BY RADIOLOGIST
Features are consistent with posterior impingement syndrome.
A sclerotic linear density suggest a previous fracture of the stedia process.
Bone marrow oedema of both the talus and calcaneus suggest active inflammation.
This change is also associated with a prominent multi septated thin walled collection in the posterior tibial region.

MY QUESTION
Need I worry or is there some treatment that I can get to improve the situation as my feet are killing me.

PREVIOUS DIAGNOSED CONDITIONS
I get epilepsy since 1974 and is treated with 600mg Epanutin and 0.5mg Rivotril daily.
I was diagnosed with myastenia gravis in 1995, operated and treated with Mestinon 60mg 4x/day. In remission since 2013.
I was also diagnosed with Hashimotus in 2000 and take 300/400 ug Eltroxin daily.
I take 50mg Tenormi twice daily and 15mg Indapemite once daily for hypertension.
Wed, 13 Apr 2016
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Hi Dotor, I Am 61 Yrs Of Age And Was