Bone marrow changes in the hand of a 16 year old

Hi all,

this is a 16 year old girl imaged in July after a fall on the wrist. Incidental finding: bone marrow changes in the 2nd to 4th metacarpals and in the proximal phalanx of the 3rd digit. At follow up in November these changes are nearly gone. The girl is asymptomatic. No systemic disease known. Just bone bruises? I find the distribution pattern and overall appearance confusing.

What is your impression?

Please see attached screenshot. Upper images July, bottom images November.

Thanks,
Andrei Dumitrescu

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