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Distal most tendon - normal. No changes of tendinosis.
About 30 mm proximal to insertion, there is focal tendon abnormality.
About 1/2 thickness of fibres is involved by cut injury - partial thickness tear which involves full width of the tendon. Site injury is noted as anechoic oblique line extending from skin to mid part of achilles tendon.
Adjacent superficial fibres are hypoechoic without tear.
Hypervascularity is noted locally.
Deeper fibres are normal in echopattern and intact.