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os intermetatarseum The tarsometatarsal alignment is preserved in the AP, Obl and Lateral radiographs, but there is marked dorsal foot swelling. These were non-weight-bearing. In the magnified AP view, there is a small fleck of bone in the proximal 1st intermetatarsal space suggesting a possible subtle Lisfranc injury. T1 weighted Cor and Ax images show the small, smoothly corticated os intermetatarseum, rather than a fracture fragment. The T2-fatsat images show the intact Lisfranc ligament complex. So what this patient has here is a boo boo.