Case contributed by Dr Matt Skalski


Multiple sites of joint pain.

Patient Data

Age: 40 years old
Gender: Male

There are large, dense, heterogenous masses within the prepatellar and infrapatellar bursae bilaterally, which demonstrate faint areas of calcification. There are also small suprapatellar effusions bilaterally. 


There are large, desnse, hetereogenous masses within the olecranon bursa bilaterally, more prominent on the left. There are mild adjacet pressure erosions on the olecrenons. There is not joint effusion. 

Case Discussion

Periarticular masses with faint areas of clacifcation represent typical features of gouty tophi, albeit adjacent to uncommon joints in this patient. 


Case courtesy of Dr. Deborah Forrester

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Case information

rID: 26848
Published: 10th Jan 2014
Last edited: 16th Jul 2018
Tag: gout
Inclusion in quiz mode: Included

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