40-year-old female with sudden leg pain

Submitted by Eric J. Monroe, MD, Department of Radiology, University of Washington, Seattle WA.

A 40-year-old woman experiences sudden onset of calf pain while rounding the bases in a game of softball. She presents after several days of continued pain, tenderness, and limited mobility. MR of the lower extremity was obtained.

History and imaging are consistent with:

Plantaris muscle injury
Ruptured Baker’s cyst
Deep venous thrombosis
Achilles tendon rupture

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