There is cortical irregularity at the tip of the lateral malleolus, which is equivocal for an acute or chronic traumatic injury. No evidence of fracture elsewhere.
Skeletal alignment within normal limits. Small bony spur at the anterior aspect of the distal tibial plafond. No enlarged ankle joint effusion. There is generalised prominence of the soft tissues of the calf and ankle with more marked soft tissue swelling over the lateral malleolus.