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A linear echogenic focus ( 5 mm ) is noted abutting posterior surface of distal achilles tendon. It is surrounded by thin hypo - anechoiec cleft. Focal area of loss of fibrillar pattern is noted in adjacent distal tendon. Achilles tendon - intact. Retrocalcaneal fluid is noted.
Hyper vascularity is noted in achilles paratenon, focal hypoechoic area of distal achilles tendon and retrocalcaneal fat pad.