X-ray typically are normal. You may see soft tissue swelling. I means that they ve got calcium at the cartilage border but it may be that that calcium that is shedding into the joint. So there is an association with chondrocalcinosis and pseudogout. Pseudogout treatment is a little different in that chronic management isn t you are not trying to manage someone the same way, of lowering uric acid like you do in gout.
Treatment acutely can be just to aspirate it.
Often just taking the crystals out will get rid of the inflammatory process. Steroid injections are the way I would usually treat it if I could. Oral colchicine does work, less rapidly than with gout.