Fig. 1
From: Congenital myopathy with hanging big toe due to homozygous myopalladin (MYPN) mutation
Clinical image, muscle CT, tongue MRI, and cardiac MR. Clinical image (a) showing the “hanging big toe sign”. Muscle CT of the mid-thigh (b) enlightens a selective pattern of involvement with the sartorius (s) and gracilis (g) muscles respectively severely and moderately affected, and the other muscles still well preserved. T1 weighted tongue MRI (c) shows scattered abnormal high-intensities areas (asterisks) in the internal tongue structure and the diffuse involvement of the posterior extensor muscles of the cervical spine. Cardiac magnetic resonance long-axis image (d) shows linear subepicardial late enhancement in the mid and apical segments of the inferolateral wall of the left ventricle (white arrows)