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A well defined lobulated intramedullary metadiaphyseal lesion occupying the distal tibia and returns low signal on T1, bright signal on T2, STIR and T2* sequences. The T2 gradient sequence augmented the hypointense foci within the lesion which was initially seen on T2/STIR sequences that representing calcification. No infiltration of the bone cortex or extra osseous spread. The marrow signal within the talus and possible fracture line are related to the trauma.