35 / F. P/H/O achillis tendon repair - 4 yrs back. 2nd surgery for local sinus 1 yr back. C/O recurrent discharge from posterior aspect of ankle - achillis tendon region.
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Tract is visualized from sinus opening.
Tract leads to elliptical heterogenous echopattern region superficial to achilles tendon. Curvilinear surgical suture is noted within this lesion.
Tendon appears intact.
Surgery - Suture material was removed.