A 38-year-old chronic alcoholic man presented for acute gastroenteritis. Physical examination revealed multiple tophi over the joints of extremities and a subcutaneous painless mass measuring 12×5 cm 2 with a hard texture and sharp margin at the right calf, which he recalled having for many years. His blood tests were remarkable with blood urea nitrogen of 45.6 mg/dL, creatinine of 3.5 mg/dL, and uric acid of 11.4 mg/dL. The subsequent computed tomography (CT) disclosed two masses in the right gastrocnemius mus-
The CEMT image with a larger CNR is superior to the CEFS image in detecting locoregional NPC. CEMT can be useful in imaging patients with possible small tumors and local recurrences.
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