Case contributed by Matt Skalski
Diagnosis probable


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, dense, heterogeneous masses within the olecranon bursa bilaterally, more prominent on the left. There are mild adjacent pressure erosions on the olecranon. There is no joint effusion. 

Case Discussion

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


Case courtesy of Dr Deborah Forrester

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