1. X-ray of the tibia was negative for fracture. Case Photo #1
2. Ultrasound of the left tibia showed focal hyper echoic elevation of periosteum with irregularity over the left distal tibia measuring about 3 cm with a positive Doppler over the area. Case Photo #2 Case Photo #3 Case Photo #5 Case Photo #6
3. MRI confirmed periosteal reaction consistent with stress fracture over the distal tibia with no fracture line. Case Photo #4
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