Presentation
High uric acid level for few years.
Patient Data
Age: 55 years
Gender: Male
From the case:
Gout
![](https://prod-images-static.radiopaedia.org/images/494589/18e32fc3c875ba68fbedec4f80f732_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/494590/e87db749710608142491161b2956e4_thumb.jpg)
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Soft tissue swelling / nodule at the medial aspect of first metatarsophalangeal joint with marginal erosions of joint bony margins.
From the case:
Gout
![](https://prod-images-static.radiopaedia.org/images/494591/2e724e6338bd43b4902b98c3c86c14_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/494592/b5d6d753d9fc0e9ed2ebb8698829e7_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/494593/60bf9c4dd917ccf0c9c2d46ad22e48_thumb.jpg)
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Ultrasonography of 1st metatarsophalangeal joint shows avascular cystic swelling with debris within.
Case Discussion
Pathology report of aspirated material - Needle-shaped crystals.