Imaging Case of the Week 133

The following right elbow x-ray is from a 60 year old man with pain and swelling behind the elbow. What can be observed?


Right elbow x-ray

[peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”]

The elbow x-ray shows a rounded soft tissue mass posterior to the olecranon containing a cloud-like calcification. This is a classic finding of gouty olecranon bursitis.

The cloud like calcification represents monosodium urate deposits of different sizes.

Gouty olecranon bursitis