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A sclerotic lesion of the mid calcaneus that may represent a prominent enostosis is typically a well-defined area of increased density within the bone, often indicative of a benign growth or abnormality. Enostosis, also known as an intraosseous bone island, is a benign bone lesion characterized by the presence of normal bone tissue within the medullary cavity of the bone. While these lesions are generally asymptomatic and require no treatment, correlation with clinical and imaging findings is essential to rule out other pathologies such as tumors or infections. Further evaluation through imaging studies may be necessary to confirm the diagnosis.

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