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Fig. 2. —31-year-old male professional tennis player who presented with acute onset of right lateral elbow pain. Longitudinal sonogram shows small hypoechoic focus (arrow) in deep fibers of otherwise normal-appearing tendon. Deep fibers are predominantly composed of extensor carpi radialis brevis that can be followed from forearm. Hypoechoic focus was thought to represent area of collagen degeneration and fibroblastic proliferation that was subsequently confirmed at surgery.

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