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Fig. 1. —26-year-old woman with diabetes mellitus and acute onset of pain in left thigh.

A, Transverse sonogram reveals hypoechoic area, which is limited to vastus intermedius and vastus lateralis muscles (arrowheads), with multiple internal echogenic lines (open arrows), compatible with muscle fibers. Also, note outer cortex of femur (curved arrow) and rectus femoris muscle (solid straight arrows). Note that posterior acoustic enhancement cannot be adequately assessed because femur is directly beneath lesion.