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A gouty tophus found in the scapula is exceedingly rare. Here, we report on a 62-year-old asymptomatic woman with no history of gout or hyperuricemia who was incidentally found on chest CT screening to have a localized osteolytic lesion in the left scapula. 18 F-FDG PET/CT demonstrated abnormally increased FDG uptake within this lesion, concerning for a neoplasm. Subsequent biopsy confirmed a gouty tophus, a rare mimic of malignancy in this location.
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Yu et al. (2026) studied this question.
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