HomeAnswersRadiologystress fractureCan you review the MRI reports of an athlete with pain in her left upper thigh?

What are the possible findings in an MRI report of a fibula stress fracture?

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Answered by

Dr. Ruchi Sharma

Medically reviewed by

iCliniq medical review team

Published At November 12, 2022
Reviewed AtNovember 28, 2022

Patient's Query

Hi doctor,

Could you review these MRI reports? My female college athlete has pain in the upper thigh of her left leg. A left fibula stress fracture is thought to be the cause, along with other tissue inflammation.

Answered by Dr. Ruchi Sharma

Hello,

Welcome to icliniq.com.

I understand your concern.

I looked over the image (attachment removed to protect the patient's identity). These findings point to a stress fracture of the femur in the mid-shaft region with inflammation of the surrounding periosteum. In addition, there is evidence of abnormally high linear MR (Magnetic Resonance) signal on T2-weighted (T2W) and STIR (short-tau inversion recovery Magnetic Resonance) sequences in the anterior aspect of right femur's mid-shaft region and a high signal in the adjacent periosteum.

NOTE: The anterior third of the proximal third of the right femur also exhibits a similar linear high signal, but there is no evidence of periosteal or soft tissue inflammation on the right side (observation based only on T2W Coronal cuts). However, since only a detailed imaging of the left thigh (axial and sagittal cuts) has been provided, I would like to limit my observations to that area. Your left femur's periosteum inflammation may be the source of your thigh pain.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Ruchi Sharma

Radiodiagnosis

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