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There are synovial hypertrophy and effusion involving all flexure tendons sheath at the wrist and the mid palm level. There is an extension of synovial hypertrophy and effusion in the thumb and little flexure tendons up to distal phalanges. Flexure tendon sheaths of the index, middle and ring fingers show no effusion/ synovial hypertrophy. All flexure tendons are intact. There is synovial hypertrophy involving the wrist joint. However, there is no bone erosion.