Abstract
Hyperuricemia is the hallmark of gout. Deposition of monosodium urate crystals in the joints and periarticular soft tissues can lead to arthritic changes. Radiographic features include periarticular soft tissue swelling, "punched-out" bony erosions and joint space narrowing. Although gout has a predilection for the first metatarsophalangeal joint, it may also affect the feet, hands, wrists, elbows and knees.