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Fig. 4D —44-year-old woman with ankle pain. Fat-suppressed fast spin-echo image. Osteochondral lesion is present in medial talar dome (large arrow). The IDEAL fast spin-echo image (B) displays superior fat-water separation in soft tissues on lateral aspect of ankle and medial aspect of foot, and reduced artifact and superior fat saturation associated with metallic hardware in distal fibula (small arrows).