Multiple rice bodies in joints or bursae may be the presenting sign of a more extensive underlying rheumatic condition. This case was a known rheumatoid patient. The radiological features are typical for rheumatoid arthritis with rice bodies in the subacromial-subdeltoid bursa, an aggregate-forming mass-like lesion anteriorly, arthropathic changes of the radiocarpal joint and a small subcutaneous rheumatoid nodule seen at the ventral aspect of the distal phalanx of the middle finger, confirmed clinically.