Clinical Information:

A 65 year-old lady (housewife) complained of right side posterior ankle pain for 6 months. Pain was worse when she walked. Physical examination showed tenderness and swelling over the Achilles tendon. There was also pain with single-leg heel raise test.

Brief Description:

Ultrasound examination showed grossly swollen and hypoechoic Achilles tendon with calcification over the distal part of tendon. There was increase in vascularity, suggestive of Achilles tendinitis. No tear is noted.