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Achilles tendon xanthoma in cerebrotendinous xanthomatosis (MRI)

(A) Sagittal T1-weighted, (B) proton density, and (C) STIR images show fusiform enlargement of the right Achilles tendon (arrows); the xanthoma is relatively isointense compared to muscle. (D) An axial proton density image shows diffuse fat infiltration with low-intensity tendon bundles interspersed within (arrows). Note: STIR = short tau inversion recovery. (Source: Ma C, Ren YD, Wang JC, et al. The clinical and imaging features of cerebrotendinous xanthomatosis: a case report and review of the literature. Medicine [Baltimore] 2021;100[9]:e24687. Creative Commons Attribution License 4.0 [CC BY] license.)

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