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Fig. 22 | Insights into Imaging

Fig. 22

From: Focal hand lesions: review and radiological approach

Fig. 22

Gouty tophus in a 60-year-old male with known gout, presenting with a 6-month duration of gradual swelling along the ulna aspect of the left wrist. (a) Plain radiograph shows amorphous calcification adjacent to the ulna styloid (arrow). (b) T1w sequence shows an irregular lobulated mass of low signal (arrow). (c) The lesion was also hypointense on T2w-FS sequence. (d) Mild peripheral enhancement is seen, and there were also erosions of the underlying ulna styloid (arrow)

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