Case contributed by Shazia Wasim Khan
Diagnosis almost certain


Wrist pain

Patient Data

Age: 35 years
Gender: Male

A well-circumscribed, oval, juxta-articular punched out erosion with sclerotic borders and overhanging margins is noted in the distal right ulna. The joint space and peri-articular bone density are preserved. Overlying soft tissue swelling is noted.

Case Discussion

This patient was a known case of gout and the lesion has a typical appearance of tophaceous gout.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.