Objective. This report describes subcutaneous sarcoidosis, focusing on
the radiological and magnetic resonance (MR) features of the disease.
Design and patients. The cases of four patients (one male and three f
emale, age range 36-75 years) who had subcutaneous sarcoidosis with no
other organs affected were reviewed. Lesions were nodular in two case
s, and in the other two were diffuse, Results. Computed tomography (CT
) demonstrated a well-defined, homogeneous, and enhanced lesion in the
nodular cases. However, in the diffuse cases, CT showed a heterogeneo
us, honeycomb-like appearance and little enhancement. Angiography show
ed a fine stain in the arterial phase. MR imaging of the nodular lesio
ns was homogeneous with a signal intensity similar to muscle on T1-wei
ghted images but heterogeneous with a higher signal than muscle on T2-
weighted images. Diffuse lesions showed a striped or mesh pattern with
intermediate signal intensity on both T1- and T2-weighted images. Con
trast-enhanced MR images showed slight enhancement. Conclusions. Subcu
taneous sarcoidosis should be considered in the differential diagnosis
when a patient presents with the radiological and MR features describ
ed.