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tibial stress reaction Current MRi shows tiny intracortical bright T2 signal foci at the anterior midshaft tibia, corresponding to the area of pain, without marrow edema. Prior MRI 6-7 weeks ago looks normal. Fredericsons grading schema describes Grade 4a as intracortical signal with marrow edema visible on T1 and T2 weighting. In the absence of marrow edema, I dont know if this is truly Grade 4a, though I suspect it is stress reaction, since it corresponds to symptoms. Makes it difficult to prognosticate about recovery time. What are your thoughts? [ Article ]