22-year-old male with leg pain for months in the middle one third of the tibia with point tenderness No acute fracture is evident. Alignment is anatomic. No abnormal bone marrow signal. Prominent nutrient foramen are noted in the middle one third of the tibial diaphysis bilaterally. No abnormal signal within the musculature or subcutaneous soft tissue. Normal muscle bulk without fatty infiltration.
No evidence of stress fracture or stress reaction.