Right Ankle: No fracture, dislocation, or significant bony change is seen. Ankle mortise is intact. No opaque foreign body is noted. There is normal regional bone density. Undersurface calcaneal spur 5 mm long. Left Ankle: No fracture, dislocation, or significant bony change is seen. Ankle mortise is intact. No opaque foreign body is noted. There is normal regional bone density. Less than 2 mm ossific density below the medial malleolus likely related to posttraumatic sequela, indeterminate age subarticular lucency medial dome of the talus is also present and a degenerative related to early changes of osteochondritis dissecans beginning. Short undersurface calcaneal spur about 2 mm long. IMPRESSION: Calcaneal spurs. Tiny ossific density left medial malleolus consistent with old post traumatic sequela. Degenerative change medial dome of the talus versus early changes of osteochondritis dissecans, stable and unchanged in comparison to previous..