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Bilateral fatigue fractures of the inferior pubic rami in a 20-year-old male recruit.
A. Plain radiograph shows bilateral non-displaced fractures with callus formation at the junction between the inferior pubic ramus and the ischial ramus (arrows).
B. Bone scan with 99mTc-MDP demonstrates symmetric bilateral focal areas of intensely increased tracer uptake at the same regions as the plain radiograph (arrows), suggesting bilateral fatigue fractures.
