47-year-old female with shin pain, evaluate for stress fractures Left: There is thinned poorly defined intermediate signal along the posterior and medial aspect of the tibial diaphysis that may represent a very mild (grade 1) stress reaction, but this is equivocal, and we see no stress fracture. Bone marrow signal is within normal limits in the tibia and fibula. Mild edema within the subcutaneous tissue anterior to the tibia is present. Slight prominence of the left anterior tibial tubercle. Subjectively, the anterior tibial tubercle appears lateralized but this study was not protocoled for detailed evaluation of the knee.Right: There is faint intermediate signal along the posterior and medial aspect of the mid tibial diaphysis which may represent a very mild (grade 1) stress reaction, although this is equivocal and no stress fracture is seen. Bone marrow signal is within normal limits in the tibia and fibula. Subjectively, the anterior tibial tubercle appears lateralized but this study was not protocoled for evaluation of the knee. Minimal edema is noted within the subcutaneous tissue along the anterior and medial tibia.
Minimal intermediate signal along the posterior and medial aspect of the tibia bilaterally may conceivably represent grade 1 stress reaction although this is equivocal. No stress fracture is seen.