Fig. 1

a A 32-yo male Pacific Islander with probable gouty tophi affecting both hands (red arrows). b Lumbar spine MRI (T2, axial view) image reported as showing an abscess surrounding the right L4/5 facet joint (red arrow). Axial CT image of lumbar spine showing c erosions (white arrow); and d corresponding DECT image (Siemens Somatom Forceā¢) showing monosodium uric acid crystal deposition (green)