Lateral and forefoot pain Tendons and ligaments: The visualized extensor tendons are intact. The visualized flexor tendons are intact. The peroneal tendons are intact. The Lisfranc ligament is intact. There is no subluxation or dislocation in the tarsometatarsal articulations.Joints: There is no joint effusion. There are no osteochondral lesions identified. Note is made of a type 2 accessory navicular. Alignment: There is normal alignment of the metatarsals. There is no hallux valgus deformity.Muscles: The plantar musculature is unremarkable.Bone Marrow: There is marrow edema involving the base of the fourth metatarsal which is best appreciated on series 11 image 18/43. There is no discrete fracture line evident however. Mild amount of soft tissue edema surrounds the lateral foot.
Marrow edema of the base of the fourth metatarsal without definite fracture line, likely representing a stress reaction.