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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:876-881 September 19, 1996 Number 12
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Case 29-1996— A 59-Year-Old Man with Gout and a Painful Preauricular Mass
R. Bruce Donoff, and Gerard F. Domanowski

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Presentation of Case

A 59-year-old man was admitted to the hospital because of a painful preauricular mass.

He had been well until five months earlier, when he noticed a mild hearing impairment in the right ear. Several weeks later, the hearing loss worsened. Evaluation by an otologist showed no evidence of an acoustic neuroma. A cranial magnetic resonance imaging (MRI) scan (Figure 1) showed that the articular disk was absent; there was gross expansion of the joint capsule, with heterogeneous signal characteristics on T1-weighted and T2-weighted images, as well as heterogeneous enhancement. Low-signal regions were interpreted as areas of . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. R. Bruce Donoff's Diagnosis

Pathological Discussion

Anatomical Diagnoses

Addendum

References



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