Joint space narrowing and "seagull" erosions in many of the proximal (PIPJ) and distal interphalangeal joints (DIPJ), with periarticular osteophytes. Mild degenerative changes in the 1st carpometacarpal joint (CMCJ1). Subluxation of DIPJ2 and 5 in the left hand. Soft tissue swelling of 2nd finger bilaterally.