What are the typical radiographic findings in gout?
Punched-out lytic lesions; usually in a juxta-articular location; overhanging sclerotic margins; preservation of the joint space until the severe stage of the disease; absence of periarticular osteopaenia; tophi
There is joint space narrowing predominately involving the proximal interphalangeal joints with associated peri-articular lytic lesions. This is most marked at the second metacarpophalangeal joint of the left hand. Erosions are also seen within the carpal bones. Soft tissue calcification surrounds the left second MCP joint.