Hands Xray: On the proximal interphalangeal joint of the 2nd right digit, there was a paraarticular soft tissue dense mass with subchondral lytic areas with sclerotic margins, and preserved joint space. These anomalies were consistent with mild gout of the hands, in contrast with the knee features. (This patient also had amputation of the 3rd phalange of the 3rd left digit decades ago due to trauma.)