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Fig. 7B —46-year-old woman with 2 years of severe, progressively
increasing right "hip" pain. During that time she had undergone
two hip MRI examinations and one lumbosacral spine MRI examination, all of
which failed to detect cause of pain. In retrospect, none of the MRI
examinations included actual source of pain in their field of view.
Longitudinal extended-field-of-view sonogram at right iliac crest shows right
external oblique muscle (M) and tendon (T). Hypoechoic structure seen in
A is a thickened and calcified external oblique tendon. This tendinosis
likely resulted from repeatedly twisting her torso during her 18 years as a
professional blackjack dealer.
