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Fig. 6A —68-year-old man, runner in Senior Olympics, has been
experiencing ankle pain. Sonography was ordered to "rule out Achilles
tendon tear." Longitudinal sonogram of Achilles tendon
(arrowheads) shows thickened tendon with hypoechoic focus
(asterisk) and calcaneal enthesophyte (E), consistent with Achilles
tendinosis. However, during examination, patient asked, "Doc, why are
you scanning there? That's not where it hurts."
