Presentation
Right foot pain.
Patient Data
Age: 60 years
Gender: Female
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No fracture, periosteal reaction or malalignment.
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Asymmetric increased uptake within the lateral midfoot on all three phases.
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Stress fracture of the fourth metatarsal shaft with periosteal reaction and cortical lucency.
Case Discussion
This case demonstrates the low sensitivity for early-stage stress reactions/injuries and further imaging is warranted in cases of persisting symptoms.