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MRI reveals periosteal and medullary edema, a reaction in the surrounding soft tissue and a T1-hypointense fracture line. In CT, the fracture line is hypodense and often associated with an adjacent sclerotic area. CONCLUSIONS For a correct diagnosis, it is important to be familiar with the appropriate imaging modalities and the respective imaging findings of stress fractures. If initial x‑rays are normal and symptoms persist, an MRI should be performed. This is also to rule out other causes such as a pathological fracture.Escherichia