Medial tibial stress syndrome
Left leg pain.
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Mild periosteal edema on the medial cortex of the mid to lower third tibial diaphysis on the left.
Bone marrow shows normal signal intensity.
The right leg shows the normal high signal of the fat adjacent to the cortex.
Periosteal edema is the most frequent imaging finding for stress injury. Also, usually bone marrow edema can be seen. Nowadays, MRI is a very sensitive tool for detecting edema. However, the final diagnoses of tibial stress injury, also known as "shin splints", depends on both imaging findings and clinical features.