PMC3420726_01
The muscles around the right and left shoulder joints showing features of swelling and mild erythema.
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On examination there were local warmth, tenderness, and swelling around the shoulder joints and upper part of both arms associated with mild erythema, no induration, and no palpable crepitus (Figure 1).
(a) Magnetic Resonance Imaging (T2W) of muscles around the right shoulder joint and right anterior chest region showing areas of increased signal intensities with areas of myositis, muscle swelling (red arrows), and subcutaneous edema. (b) Magnetic Resonance Imaging (T2W) of the muscles around the left shoulder joint revealing areas of hyperintensities suggestive of necrosis (yellow arrows) and inflammation of muscles with subcutaneous edema.
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T2-weighted images, involving deltoid, supraspinatus, and pectoralis muscles. There were also mild increased signal changes seen from subscapularis as well as teres muscle (Figures 2(a) and 2(b)). 