Hello.

I 33YOF approx 5’4 190 lbs have been having chronic issues with my right ankle for the past several years.

I had a modified Brostrom Procedure September of 2023, and started having problems again by Jan of 2024.

I have chronic instability, my ankle will give out while walking and has caused me to fall, it will randomly swell and bruise, and at time its so painful to move, even trying to flex it has brought me to tears. Theres times it’s so painful i cant bear full weight. I am constantly rolling/spraining my ankle due to this.

The doctor (Podiatrist Surgeon) that did my surgery kept insisting on braces, sole inserts, ortho shoes, PT, and steroid injections. All over the course of the last 2+ years. None of which has helped.

A second opinion doctor (Sports Medicine) ordered a MRI and I have a follow up next week. They mentioned referral to an Orthopedic Surgeon.

Im just looking for clarification of what these results mean and if surgery would be likely.

Thank you

EXAMINATION: MRI Ankle w/o Contrast Right  COMPARISON: Radiographs 10/30/2025   HISTORY: Other;Right ankle pain, right ankle sprain, right ankle instability, peroneal tendinopathy, history of ankle reconstruction and tendon repair  TECHNIQUE: Multiplanar, multiparametric imaging tailored to evaluation of the ankle/hindfoot. No intravenous contrast was administered.  FINDINGS:   Diagnostic Quality: Adequate for interpretation and recommendations.  Bones/Joints: Tibiotalar joint space narrowing with mild anterior spurring. No identifiable osteochondral lesion of the talar dome or of the tibial plafond. Slightly increased marrow T2 signal within the medial malleolus. Subchondral marrow T2 signal in the base the medial malleolus.   Muscles: T2 signal within the flexor hallucis longus muscle, incompletely imaged.   Extensor Tendons: Unremarkable.  Peroneal Tendons: No identifiable peroneal tenosynovitis. The peroneus longus is intact. The peroneus brevis is difficult to completely visualized in the retromalleolar and inframalleolar portion. The distal portion is intact. Postoperative changes surrounding the anterior margin of the peroneal tendons distal to the malleolus.   Flexor Tendons: Unremarkable.  Achilles Tendon: Unremarkable.  Syndesmotic Ligaments: Unremarkable.  Lateral Ligaments: Postoperative changes in the anterolateral soft tissues with a poorly visualized, second, and attenuated anterior talofibular ligament. Calcaneofibular ligament fibular attachment appears abnormal with attenuation and increased signal.   Medial Ligaments: Loss of normal fiber conspicuity of the deep deltoid posterior component.   Tarsal Sinus and Tarsal Tunnel: Postoperative changes along the lateral margin of the tarsal sinus. Loss of normal fat within the tarsal sinus and scattered areas of increased T2 signal.   Additional Findings: None.  IMPRESSION:  1. Postoperative changes of the anterolateral ankle soft tissues. The anterior talofibular ligament is appears thinned and attenuated, presumably torn and possibly previously repaired. The calcaneofibular ligament is also abnormal with changes of prior sprain or partial tear. 2. The peroneus brevis is difficult to visualize in the retromalleolar and inframalleolar portion. This could be due to tear or postoperative change. The distal portion is intact. 3. Postoperative changes along the lateral margin of the tarsal sinus. There is loss of normal fat within the tarsal sinus which can be seen with tarsal sinus syndrome an/or granulation tissue. 4. Mild tibiotalar osteoarthritis where there is anterior tibiotalar spurring and adjacent soft tissue swelling and mild synovitis. 5. Mild edema in the medial malleolus and in the base of the medial malleolus. 6. Mild edema in the flexor hallucis longus muscle, incompletely imaged

Ankle Injury.. questions about MRI results