EURORAD ESR

Case 3284

Bilateral achilles tendon xanthomas and the role of MRI scans

Author(s)
Prasanna VK, Kadir UA, Geary NPJ, Maffuli N
 
Patient
female, 67 year(s)
 
 
  • Figure 1
    A plain X-ray of bilateral achilles area

    Bilteral lateral ankle X-rays clearly showing the well-defined soft-tissue swelling.

     
    Area of Interest: unknown; Imaging Technique: Plain X-ray of bilateral achilles area;
     
     
  • Figure 2
    MRI scans showing the extent and features of the swelling with a low signal throughout
     

    A T1-weighted image showing the sagittal section of left achilles area.

     
    Area of Interest: unknown; Imaging Technique: MRI scans showing the extent and features of the swelling with low signal through out;

    A T2-weighted image showing the sagittal section of left achilles area.

     
    Area of Interest: unknown; Imaging Technique: MRI scans showing the extent and features of the swelling with low signal through out;

    A STIR sequence image showing the sagittal section of the left achilles area.

     
    Area of Interest: unknown; Imaging Technique: MRI scans showing the extent and features of the swelling with low signal through out;

    The axial T2 image showing the bilteral achilles area at the level of insertion.

     
    Area of Interest: unknown; Imaging Technique: MRI scans showing the extent and features of the swelling with low signal through out;
     
     
  • Figure 3
    Histology of the specimen of the left achilles area
     

    An image showing the histological features of the left achilles swelling. Fat cells interspersed with fibrous material and matrix are seen.

     
    Area of Interest: unknown; Imaging Technique: Histology of the specimen of left achilles area;

    An image showing the histology of the right achilles specimen, confirming the same.

     
    Area of Interest: unknown; Imaging Technique: Histology of the specimen of left achilles area;
     
     
  • Figure 4
    Histology of the specimen from the right achilles area

    An image showing the histology of the specimen from the right achilles area, with the same features as above: fat cells interspersed with fibrous cells and matrix.

     
    Area of Interest: unknown; Imaging Technique: Histology of specimen from rt achilles area;
     
     
Bilteral lateral ankle X-rays clearly showing the well-defined soft-tissue swelling.
 
A T1-weighted image showing the sagittal section of left achilles area.
 
A T2-weighted image showing the sagittal section of left achilles area.
 
A STIR sequence image showing the sagittal section of the left achilles area.
 
The axial T2 image showing the bilteral achilles area at the level of insertion.
 
An image showing the histological features of the left achilles swelling. Fat cells interspersed with fibrous material and matrix are seen.
 
An image showing the histology of the right achilles specimen, confirming the same.
 
An image showing the histology of the specimen from the right achilles area, with the same features as above: fat cells interspersed with fibrous cells and matrix.
 
 
 
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