“…2 The typical ultrasound findings in IBM are selective changes in the muscle echotexture of the deep flexors of the fingers with preservation of the flexor carpi ulnaris and disturbance of the anterior compartment muscles of the leg, rectus femoris and gastrocnemius. [3][4][5] The ultrasound findings are highly sensitive and specific and allow the differentiation of IBM from other muscle diseases. 2,4 However, with the progression of the disease, muscular atrophy is less selective and the diagnosis is more difficult.…”