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The plate and screws through the tibia are noted.
A new fracture line extends from the level of the lower margin of the plate and along the posterior cortex.
At this level extending both anteriorly and posteriorly there is also new periosteal new bone and some new endosteal bone. There is no bone destruction to suggest infection, although this cannot be entirely excluded.
Appearance raises the possibility of a stress fracture at the lower margin of the plate.