29-year-old female with muscle twitching and elevated creatine kinase and aldolase. Evaluate for myositis. The bilateral thigh musculature is normal, without edema or abnormal enhancement to suggest active inflammation. No skin thickening or inflammatory changes in the subcutaneous fat to suggest overlying cellulitis. No evidence of muscular atrophy. No focal fluid collection. Heterogeneous signal intensity within the bone marrow bilaterally may reflect underlying anemia. The bones are otherwise within normal limits.
No evidence of myositis or other specific findings to account for the patient's symptoms.