EURORAD ESR

Case 13515

Tophaceous gout of the ankle joint

Author(s)
Nicolas De Vos1, Filip Vanhoenacker1-3

1: Ghent University Hospital,
Department of Radiology;
De Pintelaan 185,
9000 Ghent, Belgium
2: University Hospital Antwerp,
Department of Radiology;
Wilrijkstraat 10,
2650 Antwerp, Belgium
3: AZ Sint-Maarten Duffel-Mechelen,
Department of Radiology;
Leopoldstraat 2,
2800 Mechelen, Belgium
 
Patient
male, 57 year(s)
 
 
  • Figure 1
    Axial T1-weighted image

    Axial T1-weighted image shows an intra-articular soft tissue mass of intermediate signal intensity (red arrows). Note subtle bone erosions at the talus and fibula (yellow arrowheads).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
  • Figure 2
    Sagittal fat-suppressed T2-weighted image

    Sagittal fat-suppressed T2-weighted image shows an intra-articular soft tissue mass of low signal intensity (red arrows). Note subtle bone erosions at the talus (yellow arrowhead).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
  • Figure 3
    Sagittal gradient echo image

    Sagittal gradient echo image shows no blooming artefacts (red arrows).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
  • Figure 4
    Sagittal Gadolinium-enhanced fat-suppressed T1-weighted image

    Sagittal Gadolinium-enhanced fat-suppressed T1-weighted image shows marked enhancement of the mass (red arrows).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
  • Figure 5
    Ultrasound image

    Ultrasound image of posterior talocrural joint confirms the presence of a soft tissue mass, with increased power Doppler at the periphery.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
  • Figure 6
    Axial non-fat-suppressed T2-weighted image

    Axial non-fat-suppressed T2-weighted image shows tophi of low signal intensity at the first metatarsophalangeal joint (red arrows).

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: MR; Procedure: eLearning; Special Focus: Inflammation;
     
     
Axial T1-weighted image shows an intra-articular soft tissue mass of intermediate signal intensity (red arrows). Note subtle bone erosions at the talus and fibula (yellow arrowheads).
 
Sagittal fat-suppressed T2-weighted image shows an intra-articular soft tissue mass of low signal intensity (red arrows). Note subtle bone erosions at the talus (yellow arrowhead).
 
Sagittal gradient echo image shows no blooming artefacts (red arrows).
 
Sagittal Gadolinium-enhanced fat-suppressed T1-weighted image shows marked enhancement of the mass (red arrows).
 
Ultrasound image of posterior talocrural joint confirms the presence of a soft tissue mass, with increased power Doppler at the periphery.
 
Axial non-fat-suppressed T2-weighted image shows tophi of low signal intensity at the first metatarsophalangeal joint (red arrows).
 
 
 
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