EURORAD ESR

Case 14148

Tophaceous gout

Author(s)
Rebekah Anders, Junior Medical Student, Augusta University;
Jayant H. Keshavamurthy, MD-Assistant Professor, Radiology, Augusta University

1120 15th street, BA-1411 30912 Augusta, United States of America; Email:jkeshavamurthy@gru.edu
 
Patient
male, 48 year(s)
 
 
  • Figure 1
    Anteroposterior view of right ankle

    Anteroposterior radiograph of the right ankle reveals soft tissue oedema overlying the lateral malleolus. No fracture is present.

     
    Area of Interest: Extremities; Imaging Technique: Plain radiographic studies; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Inflammation;
     
     
  • Figure 2
    Lateral view of left elbow

    Lateral radiograph of the left elbow demonstrates nonspecific soft tissue prominence overlying the olecranon with findings favoring olecranon bursitis. No fracture is present.

     
    Area of Interest: Extremities; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Posteroanterior view of right hand

    Posteroanterior radiograph of the right hand reveals significant soft tissue oedema overlying the right fifth metacarpophalangeal joint. No fracture is present.

     
    Area of Interest: Extremities; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Monosodium urate crystals

    Polarizing microscopy of synovial aspiration reveals needle-shaped, negatively birefringent monosodium urate crystals. The yellow crystals are parallel to the polarizer while the blue is perpendicular to polarizer.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Percutaneous; Procedure: Sampling; Special Focus: Inflammation;
     
     
Anteroposterior radiograph of the right ankle reveals soft tissue oedema overlying the lateral malleolus. No fracture is present.
 
Lateral radiograph of the left elbow demonstrates nonspecific soft tissue prominence overlying the olecranon with findings favoring olecranon bursitis. No fracture is present.
 
Posteroanterior radiograph of the right hand reveals significant soft tissue oedema overlying the right fifth metacarpophalangeal joint. No fracture is present.
 
Polarizing microscopy of synovial aspiration reveals needle-shaped, negatively birefringent monosodium urate crystals. The yellow crystals are parallel to the polarizer while the blue is perpendicular to polarizer.
 
 
 
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