Distal tibia pain. Stress fracture? A marker was placed along the anteromedial aspect of the lower leg approximately 13 cm above the medial malleolus. Mild focal increased signal intensity is seen within the medial aspect of the medullary cavity of the distal tibial diaphysis at the site of this marker on T2-weighted images, suggesting a mild stress reaction. Minimal if any signal abnormality is noted on the T1-weighted images. There is perhaps minimal periosteal edema at this level as well, but this is equivocal, and I see no cortical signal abnormality or discrete fracture line. The remainder of the tibia is unremarkable. The fibula is unremarkable. The signal intensity of the musculature is within normal limits.
Mild focal stress reaction ("grade 2") of the medial aspect of the distal tibial diaphysis; I see no fracture line.