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