The correct answer is D.
Lisfranc injury was covered on SinaiEM last week.
Cupid’s bow sign is seen as a normal variant in the endplate of the vertebral body.
Inverted Napoleon Hat Sign is a radiologic sign seen on the frontal pelvic or lumbar radiograph at the level of the 5th lumbar vertebra and the sacrum.
Sail sign is also known as the anterior fat pad sign, describing the elevation of the anterior fat pad to create a silhouette similar to a billowing spinnaker sail from a boat.
Fleck sign is an avulsion fracture of the second metatarsal or medial cuneiform and associated with a Lisfranc injury.
Lisfranc Injury