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IMAGING FOR RESIDENTS QUIZ Table of Contents  
Ahead of print publication
A 73-year-old man with bilateral posterior ankle pain


 Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

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Date of Submission23-Dec-2020
Date of Decision18-Jan-2021
Date of Acceptance15-Mar-2021
Date of Web Publication06-Jul-2021
 


How to cite this URL:
Chiu YH, Wang TG. A 73-year-old man with bilateral posterior ankle pain. J Med Ultrasound [Epub ahead of print] [cited 2021 Oct 20]. Available from: http://www.jmuonline.org/preprintarticle.asp?id=320795





  Section 1 – Quiz Top


A 73-year-old man had been long-term followed at the clinic due to metabolic and cardiovascular disease. Treadmill exercise electrocardiography was arranged to assess the cardiac function. However, he failed to complete the examination due to bilateral posterior ankle pain. Physical examination revealed bilateral Achilles tendons swelling and tenderness. The patient stated that he had this condition for more than 40 years and could be reduced after taking the analgesics. The following ultrasound images showed the transverse and longitudinal views of the bilateral Achilles tendons [Figure 1]. What is your impression?
Figure 1: Gross appearance and ultrasound images of bilateral Achilles tendons. (a) Gross appearance of the left Achilles tendon, (b) Longitudinal view of the left Achilles tendon, (c) Transverse view of the right Achilles tendon and (d) Transverse view of the left Achilles tendon with power Doppler mode. Arrowhead: A soft yellowish mass at posterior ankle; Arrow: Some hyperechoic spots within right Achilles tendon under ultrasonography

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

Prof. Tyng-Guey Wang, an editorial board member at Journal of Medical Ultrasound, had no role in the peer review process of or decision to publish this article. The other author declared no conflict of interest in writing this paper.



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Correspondence Address:
Tyng-Guey Wang,
No. 7, Zhongshan S. Rd., Zhongzheng District, Taipei 100
Taiwan
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Source of Support: None, Conflict of Interest: None



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