Clinical History

Bilateral Knee pain

Findings: 4 cm soft tissue mass arising adjacent to the patella with some erosion of the patella and extending superiorlly into the quadriceps tendon. Findings are very symmetrical in both knees. Joint space is normal. Findings compatible with tophaceous Gout.

Diagnosis

Tophaceous Gout

Management

New drugs targeting mediator of inflammation and Gout.

References

MRI of gout: a pictorial review Int. J. Clin. Rheumatol. (2012) 7(3)