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Radiograph of hands showed symmetrical, well defined marginal erosions of the wrist, intercarpal, carpometacarpal, metacarpophalangeal, and interphalangeal joints, more marked at the DIP joints in both hands. Minimal osteoporosis noted and no evident subcutaneous soft tissue nodules seen. Apparent fixed flexion of joints with dorsal subluxation of the distal phalanx of the left thumb was also evident.