Whole body dermatomyositis
Generalized aches and pains with weakness.
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Widespread inflammatory change throughout all visualized muscle groups with features of dermatomyositis.
There is extensive T2 hyperintensity throughout all visualized muscles. This affects the connective tissue that surrounds the muscle bundles and results in the feathery appearance.
The rheumatologist described the best heliotrope rash he had ever seen.