Musculoskeletal CT Appearances

Gout CT Findings

• Hyperdense lesions
• Soft tissue swelling with lower attenuation
• Soft tissue nodules (tophi) that may be calcified
• Well defined juxta-articular erosions with overhanging edges
• Asymmetrical involvement

Other Information About Gout

Etiology:

• Obesity
• Diets rich in purine (eg red meat) or fructose
• Heavy alcohol consumption
• Diabetes
• Kidney or heart disease
• Hypertension
• Familial history

Epidemiology:

• 3x more common in males
• Males typically present aged 30-60 years and females typically present after menopause

Presentation:

• Pain in one joint (usually great toe)
• Swelling
• Skin discoloration
• Warmth to touch

Prognosis:

• Gout can be managed with medicine and lifestyle changes

Related Pearls: Gout