My ankle xray 8mm lucency in medial talar dome consistent with osteochondral lesion. Enthesophyte at posterior aspect of the calcaneus, means what?

See orthopedist . Those findings especially at the dome of the talus was once osteochondritis dessicans. To try and avoid further aritic findings talk to your doctor. That talar finding is an "old" injury. So too is enthesophyte ( spur)