EURORAD ESR

Case 13737

Multiple tendon xanthomas in a child with familial hypercholesterolaemia

Author(s)
Dr. Anjana Trivedi1, Dr. Anirudh Chawla2

(1) MD
(2) Resident, MD Radiology
Civil Hospital,
P.D.U. Medical College;
Jamnagar Road
360001 Rajkot, India;
Email:anirudhchawla@gmail.com
 
Patient
male, 10 year(s)
 
 
  • Figure 1
    Right achilles tendon

    Panoramic ultrasound image of right achilles tendon along its long axis (arrows). Diffuse thickening of achilles tendon is noted with loss of fibrillary architecture.

     
    Area of Interest: Extremities; Musculoskeletal soft tissue; Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Metabolic disorders;
     
     
  • Figure 2
    Left achilles tendon

    Panoramic ultrasound image of left Achilles tendon along its long axis (arrows). Diffuse thickening of achilles tendon is noted with loss of fibrillary architecture.

     
    Area of Interest: Extremities; Musculoskeletal soft tissue; Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Metabolic disorders;
     
     
  • Figure 3
    Right knee sagittal panoramic view

    Panoramic ultrasound image of right knee sagittal section. Quadriceps tendon (hollow arrows) and patellar tendon (solid arrows) show fusiform thickening with loss of fibrillary architecture.

     
    Area of Interest: Extremities; Musculoskeletal soft tissue; Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Metabolic disorders;
     
     
  • Figure 4
    Left knee sagittal panoramic view

    Panoramic ultrasound image of left knee sagittal section. Quadriceps tendon (hollow arrows) and patellar tendon (solid arrows) show fusiform thickening with loss of fibrillary architecture.

     
    Area of Interest: Extremities; Musculoskeletal soft tissue; Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Metabolic disorders;
     
     
  • Figure 5
    Right patellar tendon short axis

    High resolution ultrasound of right patellar tendon in short axis (arrows). Thickening of tendon is noted with convex inner margin and altered nodular echotexture.

     
    Area of Interest: Extremities; Musculoskeletal soft tissue; Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital; Metabolic disorders;
     
     
Panoramic ultrasound image of right achilles tendon along its long axis (arrows). Diffuse thickening of achilles tendon is noted with loss of fibrillary architecture.
 
Panoramic ultrasound image of left Achilles tendon along its long axis (arrows). Diffuse thickening of achilles tendon is noted with loss of fibrillary architecture.
 
Panoramic ultrasound image of right knee sagittal section. Quadriceps tendon (hollow arrows) and patellar tendon (solid arrows) show fusiform thickening with loss of fibrillary architecture.
 
Panoramic ultrasound image of left knee sagittal section. Quadriceps tendon (hollow arrows) and patellar tendon (solid arrows) show fusiform thickening with loss of fibrillary architecture.
 
High resolution ultrasound of right patellar tendon in short axis (arrows). Thickening of tendon is noted with convex inner margin and altered nodular echotexture.
 
 
 
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