Figure 1 - Extensive bilateral periorbital hypopigmentation.
Figure 2 - Stress fracture through the midshaft of the 3rd
metatarsal with evident healing callus formation. Bony erosion noted
in the medial head of the 1st metatarsal, immediately adjacent to the
1st metatarsal phalangeal joint.
Figure 3 - MRI T1 Signal - Focal area of linear altered signal
on T1 in the bone trabeculation of the navicularis in keeping with
microtrabecular/stress injury
Figure 4 - MRI STIR sequence - Bone marrow oedema throughout the
shaft of the fourth metatarsal with periosteal thickening and
surrounding fascial oedema. Features are consistent with an evolving
stress reaction/fracture.
Figure 5 - MRI STIR sequence - Bone marrow oedema at the distal
shaft of the third metatarsal with periosteal thickening and
surrounding fascial oedema. Features are suggestive of a stress
fracture.
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