The alignment is normal. Diffuse osteopenia.
Diffuse cortical thinning in the radial and ulnar shafts, metacarpals and in the visible proximal phalanges.
Cupping, fraying and splaying of the distal radial and ulnar metaphyses.
Diffuse soft tissue prominence adjoining the distal radial and ulnar metaphyses due to cartilage overgrowth.