Step I MSK path question

[MudPhud20XX]

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An 85-year-old man has had episodes of pain and decreasing joint motion of wrists, elbows, shoulders, and ankles for weeks at a time during the past 2 years. On physical examination there is no joint deformity or swelling, but there is warmth. A joint aspirate is performed. Which of the following findings is most likely to be seen on microscopic examination of this aspirate?

Based on this vignette, I was debating between gout and pseudo gout. The answer was pseudo gout, why not gout?

 

[Missorleans]

Weird for gout to present in ankles, wrists, elbows, and shoulders, more likely to be pseudogout based on location.

 

[Missorleans]

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[Halothane27]

Just a personal experience but most clinical cases for gout I have come across usually has podagra mention in them. I just checked FA.. it mentions pseudogout occurs more joints esp in the knees. I think the age might be highlighting point as well. Pseudogout >50 (FA)