<prompt> An army recruit, smoker and 6 months into training started complaining of pain at posteromedial aspect of both legs. There was an acute point tenderness and the pain was aggravated on physical activity. The most likely diagnosis is -Beargers diseaseGoutLumbar canal stenosisStress fracture  <response>: Information in this question are :-Patient is an army recruit with 6 months trainingComplaining of pain in lower limbPain aggravates with activityPoint tendernessThese suggest the diagnosis of fatigue stress fracture.Stress fracture usually occur after a recent change in training regimen has taken place. Especially professional or recreational athletes and military recruits are subject to change in training intensity increased, type of training or training circumstances new shoes, other training surface etc and thus at increased risk of developing a stress fracture. 