Background: The ankle joint (Talocrural articulation) is a hinge-typernsynovial joint. It is one of the frequently injured joints and as suchrnligament injury is a more common pathology. The most common anklerninjuries are sprains and fractures, which involve ligaments and bones inrnthe ankle. Ankle joint can also be affected by inflammatory, infectiousrnand tumoral lesions. Magnetic resonance (MR) imaging has opened newrnhorizons in the diagnosis and treatment of many diseases affecting thernankle and foot. rnObjectives: This study was designed to assess the Magnetic Resonancernimaging findings/patterns of ankle joint pathologies in patients whornpresented with ankle joint compliant. rnMethod: Hospital based retrospective descriptive cross-sectional studyrnwas conducted at Tikur Anbessa Specialized Hospital and Saint PaulsrnMillennium Medical Collage Hospital within a period of 30 months fromrnJanuary 2018 to June 2020G.C to address the specific objectives stated.rnData was collected using structured questionnaires from picture archivingrnand communication system (PACS) system, from both manual andrnelectronic patient recordings. Magnetic Resonance Images were evaluatedrnfor result correspondence. Computerized Data analysis was conducted byrnusing Statistical Package for the Social Science (SPSS) version 25rnsoftware rnResult: A total of 114 patients were imaged with Magnetic ResonancernImages in the two hospitals over the last 30 months and among themrn75(56.8%) were females and 39(34.25) were males. The commonest agerninvolved was between 31-40 and 21-30 years with age range from 787years.rnBonernmarrowrnsignalrnchangern(35.1%)rnisrntherncommonestrnpathologyrnrndetectedrnrnwith MRI followed by tendon pathology (28.9%) and jointrneffusion (26.3%). Tenosynovitis is the commonest tendon lesion detectedrnfollowed by tendinopathy which is more common in Achilles tendon, the rncommonly involved tendon among tendons at ankle joint. AnteriorrnTalofibular ligament is the commonly injured ligament in 72.7% of therncases with ligament lesions. Study showed 11 different types of tumorrnlesions (Giant cell tumor was more common), 5 cases with Haglundrnsyndrome and 2 cases of Madura foot. rnConclusion: Magnetic Resonance Image has a special quality in detectingrnbone, tendon, ligament and soft tissue pathologies irrespective of thernetiology and our study confirmed this quality of detecting wide array ofrnpathologies. Magnetic Resonance Image is an irreplaceable imagingrnmodality in Musculoskeletal system imaging and its accessibility has ledrnto increased detection of pathologies of the ankle joint which otherwisernwouldnâ€™t have been detected. Detection of minor fractures, bonerncontusion, small soft tissue lesions in detail made MRI gold standardrnimaging modality in Ankle joint.