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Fig. 3D —9-year-old boy with deep pansclerotic disabling morphea (same patient as in Figure 1A, 1B). Furthermore, left hindfoot shows diffuse bone marrow infiltration on STIR (TR/TE, 8,910/58; inversion time, 150 milliseconds) image (short arrow). T2 and STIR signals are more intense than expected in patients with bone marrow edema, and distribution does not follow expected pattern for edema. Longer arrow indicates bone marrow edema in contralateral heel.