IMAGING FOR RESIDENTS – QUIZ |
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Ahead of print
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A 42-year-old man with posterior thigh pain |
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Wei-Ting Wu, Ke-Vin Chang
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 Submission | 20-Oct-2021 |
Date of Acceptance | 25-Nov-2021 |
Date of Web Publication | 19-May-2022 |
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Section 1 – Quiz | |  |
Case
A 42-year-old male suffered from the right posterior thigh pain after playing baseball 1 week ago. His pain could not be relieved by nonsteroid anti-inflammatory drug and got worse when jogging. He came to our clinic where ecchymosis and local tenderness were noticed at his right proximal thigh. An ultrasound examination was, therefore, applied using a curvilinear transducer. The short-axis and long-axis views of the ultrasound images over the painful site are presented in [Figure 1]a and b, respectively. The short-axis ultrasound image over the contralateral asymptomatic site is provided in [Figure 2]. What is your diagnosis? | Figure 1: Ultrasound images over the proximal posterior thigh at the painful site at the short- (a) and long-axis (b) views. ST: Semitendinosus, GMax: Gluteus maximus, ADM: Adductor magnus; white asterisk, the lesion
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 | Figure 2: Ultrasound images over the proximal posterior thigh at the contra-lateral asymptomatic site at the short-axis view. ST: Semitendinosus, GMax: Gluteus maximus, ADM: Adductor magnus; black asterisk, long head of the biceps femoris
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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 figures 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 The patient understands that his name and initials will not be published, and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.
Acknowledgment
We would like to thank Lan-Rong Chen for editing the figure.
Financial support and sponsorship
The current article is supported by the Ministry of Science and Technology (109-2314-B-002-114-MY3).
Conflicts of interest
Dr. Ke.Vin Chang, 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 conflicts of interest in writing this paper.

Correspondence Address: Ke-Vin Chang, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei.Hu Branch and National Taiwan University College of Medicine, No. 87 Neijiang St, Wanhua District, Taipei 108 Taiwan
 Source of Support: None, Conflict of Interest: None
[Figure 1], [Figure 2] |
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