Imaging of bilateral tendoachilles xanthomatosis in a young woman

Bilateral tendoachilles xanthomatosis is a rare entity and is frequently found in association with the primary hyperlipidemia. It is characterized by the deposition of cholesterol in tendons. An early diagnosis with different imaging modalities changes the course of the disease. This case report illustrates the bilateral tendoachilles xanthomas on MRI imaging in a patient who presented with painless progressive swelling of bilateral ankle joints for several years. Intralesional subtotal resection was successfully done and histological evaluation further confirmed the diagnosis.