Case Study: Foot pain after jogging

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A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. She denies any fever or history of arthritis or other complaints. The pain is localized to the lateral portion of her foot.

Examination

Her vital signs are normal. Physical examination is normal except for tenderness and slight redness to the lateral mid-foot. Pulses are strong, and her neurologic examination is normal.

Initial concerns

Stress fracture, gout, early cellulitis

Testing

See image below.

What does the image show? 

What should you do next? 

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