We describe 4 cases of focal myositis of the lower leg in which magnet
ic resonance imaging (MRI) was useful and sensitive in clearly reveali
ng the detailed anatomic extent of muscle change and in guiding muscle
biopsy. We also observed a correlation between MRI findings and sever
ity of both clinical and histological manifestations, suggesting that
MRI may provide prognostic criteria in focal myositis, MRI may be a he
lpful, noninvasive test for the followup of focal myositis, in assessi
ng disease progression or resolution.