There is this query which we all radiologists find in plain films in this era of MRIs and PETs and this section of ours is usually dealing with apparently innocuous questions like in this case “is this a fracture?” Professor Resident series by Dr MGK Murthy.
What is it?
There is vertical line across the metaphysis of 1st metatarsal with no significant soft tissue swelling or articular abnormality
Is it fracture in view of history of injury ?
No you can clearly see on invert image it is not identified and hence represents vessel
Any further imaging is needed?
No , we need to take radiological call at this stage it is not fracture
How to write report?
There is vertical lucency seen across the middle of metaphysis of 1st Metatarsal possibly representing vessel with no soft tissue or joint involvement – represents vessel. However if there is local tenderness, MRI / follow-up Xray after 2 weeks would help