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Unusual high signal intensity on MR images in a patient with multiple tendinous xanthomas
Authors:S. Otake  N. Imagumbai  A. Tajima  S. Ohba
Affiliation:(1) Department of Radiology, Nagoya City Higashi Municipal Hospital, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464, Japan, JP;(2) Department of Orthopedic Surgery, Nagoya City Higashi Municipal Hospital, 1-2-23 Wakamizu, Chikusa-ku, Nagoya, Aichi 464, Japan, JP;(3) Department of Radiology, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi 467, Japan, JP
Abstract:The MR features of a 57-year-old man with multiple tendinous xanthomas are reported. The lesions of the peroneus longus tendons and the Achilles tendons showed diffuse reticulated pattern, which is the typical MR finding of tendinous xanthomas. However, the lesions of the patellar tendons showed no diffuse pattern and contained focal regions of high signal intensity on T 1-weighted images suggesting the deposition of triglycerides. The regions showed high signal intensity on T 2-weighted images and moderate enhancement on contrast-enhanced T 1-weighted images suggesting the presence of associated inflammation. Received: 13 May 1996; Revision received: 19 August 1996; Accepted: 12 September 1996
Keywords:: Xanthoma  Tendons  MR imaging
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