No evidence of fracture or dislocation. Tiny vague calcific densities within the medial malleolus which are only identified on the oblique view, which could represent tiny loose bodies. However, the possibility of overlapping soft tissue calcifications cannot be totally excluded. The possibility of this being artifactual in origin should also be considered. Tiny all well-corticated fracture versus dystrophic calcification adjacent to the tip of the lateral malleolus---- what does this mean
Hibone scan may be done to rule out osteomyelitis or bone infection. Flaking may be cortical reaction which occurs in bone infection, this test would rule it out. Secondly, it could be part of osteoarthritis in ankle for which MRI may rule out. In any case, all this is treatable. Consult an orthopedic surgeon best wishes