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Case of the Week 423



What is the most likely diagnosis?

  • 70 year-old male with pain and swelling



Frontal and lateral radiographs of right hand

  1. Pott's Puffy Tumor
  2. Metastatic Bone Disease
  3. Osteomyelitis
  4. Gout
  5. Osteoarthritis

Additional Images - Close-up view

 

 

Additional Images

 

Close-up of lateral view of hand


Answer:

.


4. Gout

.

.

More (Click Discussion Tab)


Gout

General Considerations

  • Deposition of sodium urate monohydrate crystals in synovial membranes, articular cartilage, ligaments, bursae leading to destruction of cartilage
  • Age of onset is usually greater than 40 years; males much more often than females
  • Radiologic features usually not seen until 6-12 years after initial attack
  • Radiologic features present in 50% of affected patients

MORE...


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70 year-old male with pain and swelling
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.