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An 82-year-old man with pain and inflammation in the forefoot. CT demonstrates soft tissue (a coronal reformat of the forefoot, sagittal reformat of the big toe) and destructive bone and articular (b, arrows) deposits, hyperattenuating compared with muscle and hypoattenuating compared with bone. The attenuation values were around 200 HU confirming the clinical diagnosis of gout. Masses with attenuation of 150–200 HU are usually due to gout tophi
