3D VRT volume rendered dual energy CT of the feet in 58 yo female with gout. Scanning with 80 kV and 140 kV reveals the presence of monosodium urate deposition (green areas) in the medial first metatarsal phalangeal joint capsules bilaterally consistent with gouty tophus. Small periarticular and intratendinous deposits are noted elsewhere. Scattered green foci in the skin and nailbeds are artifactual.
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