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Gout : Radiographic Features

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80 y/o male with persistent wrist pain and tenderness over left ulnar bone. The radiograph shows multiple well-circumscribed punched-out bony erosions with sclerotic margins, particularly in the ulnar styloid, triquetrum and distal part of first proximal phalanx. There are juxta-articular soft tissue cloudy densities and swelling distal to the ulnar and radial to the second metacarpo-phalangeal (MCP) joint.

Case courtesy of Dr Matthew Lukies, Radiopaedia.org. From the case rID: 53874

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