Reason: eval for fx lis franc History: foot pain sports. There is bone marrow edema involving the bases of the first through fourth metatarsals as well as the middle and lateral cuneiforms and the cuboid, although the cuboid is incompletely imaged on this study. There is questionable step-off along the base of the third metatarsal that is suspicious for a nondisplaced fracture. Portions of the base of the second metatarsal are also ill defined which may reflect an additional nondisplaced fracture, but this is equivocal.The dorsal, interosseous and plantar components of the Lisfranc ligament itself are poorly visualized with edema noted between the middle cuneiform and the base of the second metatarsal, suggesting a tear. However, the alignment of the tarsometatarsal joints is within normal limits.Mild edema within the surrounding soft tissues and along the dorsum of the foot as well.The visualized tendinous structures appear intact.The phalanges appear unremarkable.
Findings compatible with a Lisfranc ligament injury and possible nondisplaced fractures through the bases of the second and third metatarsals that could be further evaluated with CT if clinically warranted.