Figure 11. Nodular sarcoidal myopathy in a 51-year-old woman with a 2-year history of sarcoidosis and painful nodules in both legs. Axial fat-saturated T1-weighted MR image (616/9) through the midcalf obtained after intravenous administration of gadopentetate dimeglumine shows multiple intramuscular lesions with thick rimlike enhancement and central low signal intensity (arrows). Biopsy revealed noncaseating granulomas.