Lower Leg
May 2025
Author: R. Conner Dixon, MD, CAQ-SM
Peer Reviewer: Justine Ko, MD, CAQ-SM
Peer Reviewer: Justine Ko, MD, CAQ-SM
This image was obtained using a linear probe in a longitudinal orientation along the medial aspect of the calf.
Image 1: Author’s own images and annotations
A 65-year-old male presents with left calf pain after playing tennis. He felt pain along his medial calf when lunging forward for a hit. You decide to ultrasound the area of concern.
Image 4: Case courtesy of Mark Holland, Radiopaedia.org, rID: 19140
What are the key structures you see in the image?
Image 5: Case courtesy of Mark Holland, Radiopaedia.org, rID: 19140 (author’s own annotations)
You can see the hypoechoic fluid between the gastrocnemius and the soleus. There is a loss of the normal striated appearance of the muscle, indicating a tear.